{
	"hospital_name": "Sherman Oaks Hospital",
	"last_updated_on": "2024-12-19",
	"version": "2.0.0",
	"hospital_location": [
		"Sherman Oaks Hospital"
	],
	"hospital_address": [
		"4929 Van Nuys Boulevard Sherman Oaks, CA91403"
	],
	"license_information": {
		"license_number": "202546649",
		"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": 12,
					"maximum": 40,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"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": "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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - 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 Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ADM Pfizer covid vacc-2 dose",
			"code_information": [
				{
					"code": "0002A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "ADM Pfizer covid vacc-3 dose",
			"code_information": [
				{
					"code": "0003A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "ADM Pfizer covid vacc booster",
			"code_information": [
				{
					"code": "0004A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC",
			"code_information": [
				{
					"code": "001",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 372745,
					"minimum": 286727,
					"maximum": 519550,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 344073,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 337191,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 344073,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 403139,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 333751,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 481883,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 333751,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 418622,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 421849,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 292462,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 344073,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 444427,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 335434,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 326869,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 333751,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 372746,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 326869,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 340632,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 333751,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 286727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 333751,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 289595,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 519550,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
			"code_information": [
				{
					"code": "0011",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 54809.3,
					"maximum": 58645.9,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 58645.9,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
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							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
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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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted 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 IPA",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "ADM Moderna covid vacc-1 dose",
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				{
					"code": "0011A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
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							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
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							"payer_name": "Health Net Of CA",
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							"methodology": "percent of total billed charges"
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						}
					]
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			]
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			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
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				{
					"code": "0012",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"payer_name": "L.A Care Health Plan",
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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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						{
							"payer_name": "Non-Contracted Medi-Cal",
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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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					]
				}
			]
		},
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			"description": "ADM Moderna covid vacc-2 dose",
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				{
					"code": "0012A",
					"type": "HCPCS"
				}
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				{
					"setting": "outpatient",
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					"maximum": 32,
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							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						}
					]
				}
			]
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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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					"maximum": 78863.6,
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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"
						},
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							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "Traditional Medi-Cal",
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
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					]
				}
			]
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			"description": "ADM Moderna covid vacc-3 dose",
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					"code": "0013A",
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				{
					"setting": "outpatient",
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							"standard_charge_algorithm": "Not To Exceed $4132",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
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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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					"maximum": 138603,
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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"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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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							"standard_charge_dollar": 129535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC",
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				{
					"code": "002",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 145988,
					"minimum": 111990,
					"maximum": 203485,
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							"payer_name": "PROVIDER SELECT",
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						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
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						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
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						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
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						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
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							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
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							"payer_name": "Aetna",
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							"methodology": "case rate"
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 157892,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"standard_charge_dollar": 112298,
							"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": "Non contracted Medicare",
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							"standard_charge_dollar": 112298,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina",
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							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Renal Payer Solutions",
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							"standard_charge_dollar": 112298,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 112298,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 112298,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 158987,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": 163956,
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							"payer_name": "Managed Health Network",
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							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"payer_name": "Health Net 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": "Health Net Of CA",
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					"code": "003",
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							"payer_name": "THREE RIVERS",
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							"payer_name": "L.A Care Health Plan",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "PROVIDER SELECT",
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							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
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							"payer_name": "Wellcare",
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							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
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							"payer_name": "MULTIPLAN",
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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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Imperial Health Plan",
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							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 218204,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 218204,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 261845,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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							"standard_charge_dollar": 253990,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 218204,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 218204,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 306795,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 218204,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 218204,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 248753,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 255212,
							"estimated_amount": 999999999,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 253990,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 218204,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 220386,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 395386,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 283666,
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							"methodology": "case rate"
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ADM Janssen covid vacc-1 dose",
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				{
					"code": "0031A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
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							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
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							"payer_name": "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": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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"
						}
					]
				}
			]
		},
		{
			"description": "ADM Janssen covid vac Booster",
			"code_information": [
				{
					"code": "0034A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
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							"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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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",
			"code_information": [
				{
					"code": "004",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 187115,
					"minimum": 143935,
					"maximum": 260811,
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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							"payer_name": "Worker comp",
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							"standard_charge_dollar": 241726,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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"
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						{
							"payer_name": "MULTIPLAN",
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							"standard_charge_dollar": 167541,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 146814,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"standard_charge_dollar": 172722,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 198671,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 223100,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 170995,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 172722,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 169268,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 167541,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 167541,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 164086,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 167541,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 172722,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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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							"standard_charge_dollar": 168263,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 167541,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 164086,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 202373,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 210145,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 143935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0041",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 44979.4,
					"payers_information": [
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							"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",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 44979.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0042",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 58078.2,
					"maximum": 62143.7,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 58078.2,
							"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"
						},
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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": "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": "L.A 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 Medi-Cal",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 62143.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0043",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 89206.2,
					"maximum": 95450.6,
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						{
							"payer_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 IPA",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 95450.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
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				{
					"code": "0044",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 134969,
					"maximum": 144417,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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",
							"standard_charge_dollar": 144417,
							"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 IPA",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 134969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT",
			"code_information": [
				{
					"code": "005",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 141091,
					"minimum": 108532,
					"maximum": 196660,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 141092,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 152596,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 158457,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 128936,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 126331,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 130687,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 126814,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 126331,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 126331,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 127634,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 130238,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 126331,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 196660,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 168224,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 109617,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 130238,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 123726,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 126331,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 130238,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 182182,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 110703,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 123726,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 108532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0051",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36741,
					"maximum": 39312.9,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 39312.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36741,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ADM Pfizer tris-sucrose 1 dose",
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				{
					"code": "0051A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"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": "Keenan",
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							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0052",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 43531.1,
					"maximum": 46578.3,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 46578.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 43531.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ADM Pfizer tris-sucrose 2 dose",
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				{
					"code": "0052A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $4132",
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						},
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							"payer_name": "Aetna",
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
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							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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				{
					"code": "0053",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 65623,
					"maximum": 70216.6,
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							"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"
						},
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							"payer_name": "L.A 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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 65623,
							"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": "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": 70216.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ADM Pfizer tris-sucrose 3 dose",
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				{
					"code": "0053A",
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				{
					"setting": "outpatient",
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					"minimum": 12,
					"maximum": 32,
					"payers_information": [
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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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						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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				{
					"code": "0054",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 92671.3,
					"maximum": 99158.3,
					"payers_information": [
						{
							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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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"
						}
					]
				}
			]
		},
		{
			"description": "ADM Pfizer tris-sucrose Boostr",
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				{
					"code": "0054A",
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				}
			],
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				{
					"setting": "outpatient",
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					"minimum": 12,
					"maximum": 32,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $4132",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Aetna",
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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": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "CRYOPRESERVATION OVARIAN",
			"code_information": [
				{
					"code": "0058T",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 316.2,
					"discounted_cash": 244,
					"minimum": 94.86,
					"maximum": 291.66,
					"payers_information": [
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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 Commercial Ins Exchange",
							"standard_charge_dollar": 274.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": 252.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 225.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 161.26,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"standard_charge_dollar": 219.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 252.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 161.26,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 274.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
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							"standard_charge_dollar": 219.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 214.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 219.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 291.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 252.96,
							"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": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"standard_charge_dollar": 219.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 219.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 190.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 263.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 252.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 188.17,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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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": 191.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 223.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 219.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 225.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 225.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 221.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 225.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 221.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional 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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": 191.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 190.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 214.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 223.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 252.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 282.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 94.86,
							"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": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 219.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 225.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 291.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 188.17,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 214.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 264.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 188.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 264.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 225.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT WITHOUT MCC",
			"code_information": [
				{
					"code": "006",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 64394,
					"minimum": 49534.6,
					"maximum": 89756.6,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
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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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 56469.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 57658.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 76778.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 85268.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 57745.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 57658.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 69645.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 89756.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 58252.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 57658.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 56469.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 57658.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 72320.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 59441.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 58847.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 57658.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 59441.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 50525.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 50029.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 82956.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 49534.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "PANCREAS TRANSPLANT ",
			"code_information": [
				{
					"code": "0061",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 55755.1,
					"maximum": 59658,
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							"payer_name": "Blue Shield Of Promise",
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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": 55755.1,
							"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": "Health Net Of CA",
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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": "Traditional Medi-Cal",
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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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "PANCREAS TRANSPLANT ",
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				{
					"code": "0062",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 67118.4,
					"maximum": 71816.6,
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						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PANCREAS TRANSPLANT ",
			"code_information": [
				{
					"code": "0063",
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				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 87429.1,
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
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							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Anthem Blue cross",
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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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				}
			]
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			"description": "PANCREAS TRANSPLANT ",
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				{
					"code": "0064",
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					"setting": "inpatient",
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						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Health Net Of CA",
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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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						}
					]
				}
			]
		},
		{
			"description": "ADM Moderna covid vacc booster",
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				{
					"code": "0064A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
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						{
							"payer_name": "Keenan",
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						},
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							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_dollar": 32,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
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							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "LUNG TRANSPLANT",
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				{
					"code": "007",
					"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": "Traditional Medicare",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Renal Payer Solutions",
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						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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": "Employer Direct Healthcare",
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
						{
							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
						{
							"payer_name": "Imperial Health Plan",
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						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
							"payer_name": "Managed Health Network",
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						},
						{
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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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							"standard_charge_dollar": 133141,
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 133141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 135804,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 133141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 223572,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"standard_charge_dollar": 133141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 159769,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 133141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 154976,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 133141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 133141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 154976,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 206369,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 133141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
			"code_information": [
				{
					"code": "0071",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 47581.8,
					"maximum": 50912.5,
					"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",
							"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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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 47581.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
			"code_information": [
				{
					"code": "0072",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 60331.3,
					"maximum": 64554.4,
					"payers_information": [
						{
							"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",
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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": 64554.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 60331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 60331.3,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 60331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 60331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
			"code_information": [
				{
					"code": "0073",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 76591.9,
					"maximum": 81953.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal 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": "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",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "ALLOGENEIC BONE MARROW TRANSPLANT",
			"code_information": [
				{
					"code": "0074",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 133615,
					"maximum": 142968,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 133615,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 133615,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 133615,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 133615,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 133615,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 133615,
							"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": 142968,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 133615,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT",
			"code_information": [
				{
					"code": "008",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 72221,
					"minimum": 55555.1,
					"maximum": 100666,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 93082.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 66666.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 55555.1,
							"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": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 56110.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 81110.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 64666.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 63332.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 65999.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 78110.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 68321.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 64666.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 72221.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 63332.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 64666.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 64794.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 100666,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 56666.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 65332.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 66666.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 66666.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 55555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 86110.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 64666.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 64666.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY",
			"code_information": [
				{
					"code": "0081",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20176.1,
					"maximum": 21588.5,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21588.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20176.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY",
			"code_information": [
				{
					"code": "0082",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32467.2,
					"maximum": 34739.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 34739.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 32467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY",
			"code_information": [
				{
					"code": "0083",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 38867.9,
					"maximum": 41588.7,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 41588.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 38867.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY",
			"code_information": [
				{
					"code": "0084",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 64857.3,
					"maximum": 69397.3,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 69397.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 64857.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
				{
					"code": "0091",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34539.1,
					"maximum": 36956.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 36956.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
				{
					"code": "0092",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36357.7,
					"maximum": 38902.7,
					"payers_information": [
						{
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36357.7,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38902.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
				{
					"code": "0093",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 62272,
					"maximum": 66631,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 66631,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
				{
					"code": "0094",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 137513,
					"maximum": 147139,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 147139,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY PATHOGEN PANEL LC",
			"code_information": [
				{
					"code": "0099U",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 245,
					"minimum": 73.5,
					"maximum": 196,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 73.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 196,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 196,
							"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": 196,
							"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": 124.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 196,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "PANCREAS TRANSPLANT",
			"code_information": [
				{
					"code": "010",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 105701,
					"minimum": 62503.3,
					"maximum": 147331,
					"payers_information": [
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 81308.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 81308.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"payer_name": "Worker comp",
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							"standard_charge_dollar": 136396,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Managed Health Network",
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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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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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": "Aetna",
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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 FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network 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": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 95618.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 92691.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 147331,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 126028,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 118711,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 114320,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",
			"code_information": [
				{
					"code": "011",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 71623,
					"minimum": 55095.4,
					"maximum": 99832.8,
					"payers_information": [
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers 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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 64792.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 64131,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 66114.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 92309.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 80439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 85397.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 64131,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 99832.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 62808.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 64131,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 71624,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 68297.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 55095.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 62808.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "0111",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 30752.7,
					"maximum": 32905.3,
					"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 32905.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "0112",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 61532.3,
					"maximum": 65839.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 61532.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "0113",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 86144.5,
					"maximum": 92174.6,
					"payers_information": [
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "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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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "0114",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 160319,
					"maximum": 171542,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 160319,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 171542,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",
			"code_information": [
				{
					"code": "012",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 54537,
					"minimum": 41469.2,
					"maximum": 76016.3,
					"payers_information": [
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							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 47824.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 50341.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 49838.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 49335.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 65025,
							"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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 48831.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 76016.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 61249.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 47824.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 70203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 42371.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 58984,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 54537.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 50341.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 41951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 48867.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 41951.6,
							"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": 35314,
					"minimum": 27165.1,
					"maximum": 49223.2,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 32598.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 31620.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 31946.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 32598.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 49223.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 31556.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 32272.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 31620.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 27436.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 27708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 38194.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 39661.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 30968.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 34872.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 45334.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 35314.7,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 30968.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 31620.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 31620.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 32598.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 27165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 42106,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 31620.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
			"code_information": [
				{
					"code": "014",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 173519,
					"minimum": 133477,
					"maximum": 241860,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 155367,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 134812,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 156969,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 241860,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 156019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 206889,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 158570,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 160172,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 173520,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 224136,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 160172,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 187668,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 160172,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 136146,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 155367,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 155367,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 184599,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 133477,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 152164,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 155367,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 152164,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 155367,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 194876,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC",
			"code_information": [
				{
					"code": "016",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 80086,
					"minimum": 61605.2,
					"maximum": 111629,
					"payers_information": [
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 95488.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 62221.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 111629,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 89943.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 73926.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 86616.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 62927.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 103258,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 71876.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 72447.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 80086.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 73926.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 62837.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 70229.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 73187,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 73926.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC",
			"code_information": [
				{
					"code": "017",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 80086,
					"minimum": 61605.2,
					"maximum": 111629,
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 111629,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 95488.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 62221.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 73926.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 89943.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 73926.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 70229.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 71708.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 70229.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 80086.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 62837.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 71876.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 103258,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 73926.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 72447.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 61605.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES",
			"code_information": [
				{
					"code": "018",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 498953,
					"minimum": 348087,
					"maximum": 695464,
					"payers_information": [
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							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 460572,
							"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 Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 391486,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 460572,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 446755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 451361,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 437544,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 446755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 594906,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 437544,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 455967,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 446755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 446755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 695464,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 387648,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 449091,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 348087,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 460572,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 383810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 446755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 498953,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 539637,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 560363,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 383810,
							"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": 105096,
					"minimum": 80843.8,
					"maximum": 146489,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 80843.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
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							"payer_name": "THREE RIVERS",
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
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							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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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": "L.A Care Health Plan",
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						},
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							"payer_name": "Wellcare",
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						},
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							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"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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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"standard_charge_dollar": 80843.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medicare",
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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": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
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							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Imperial Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC",
			"code_information": [
				{
					"code": "020",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 148955,
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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": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 95686.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 95686.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 135610,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 98645.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 93713.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 82204.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 82204.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 127417,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 83026.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
			"code_information": [
				{
					"code": "0201",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 19353.4,
					"payers_information": [
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							"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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 19353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted 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": [
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					"setting": "inpatient",
					"minimum": 21183,
					"maximum": 22665.9,
					"payers_information": [
						{
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted 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": 22665.9,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Respiratory Pathogen Panel",
			"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": "Managed Health Network",
							"plan_name": "Managed Health Network 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": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 237.05,
							"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": 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 88.89,
							"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": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 296.31,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 237.05,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 296.31,
							"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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							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 151.12,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"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": "Brand New Day",
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							"standard_charge_dollar": 296.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
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				{
					"code": "0203",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 31741.2,
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						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "L.A 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": 31741.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 29664.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 29664.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
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				{
					"code": "0204",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 47233.5,
					"maximum": 50539.8,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 50539.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUD PURE TONE AUDIOMETRY AUTO",
			"code_information": [
				{
					"code": "0208T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 65,
					"minimum": 30.98,
					"maximum": 82.6,
					"payers_information": [
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 77.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 73.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 70.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 52.66,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 57.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 70.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 30.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"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": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 57.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 75.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 58.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 50.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 59.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 51.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "AUD PURE TONE AUDIOMETRY AUTO",
			"code_information": [
				{
					"code": "0209T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 65,
					"minimum": 30.98,
					"maximum": 82.6,
					"payers_information": [
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 58.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 57.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"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": 50.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 70.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 51.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 77.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 59.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 70.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 30.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"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": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 73.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC",
			"code_information": [
				{
					"code": "021",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 73361,
					"minimum": 56431.9,
					"maximum": 106408,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 65686.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 66363.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 79343.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 57560.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 65686.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 65686.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 67041.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 65686.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 94557.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 82390.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 64332.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 63600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 106408,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 64332.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 65686.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 67718.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 102255,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 56996.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 67718.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 87469.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 73361.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 67718.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 56431.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUD SPCH AUDIOMETRY THRSHLD",
			"code_information": [
				{
					"code": "0210T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 65,
					"minimum": 30.98,
					"maximum": 82.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 59.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 57.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 50.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 70.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 58.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 77.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 30.98,
							"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": 51.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 52.66,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 75.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 57.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 73.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0211",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16992.3,
					"maximum": 18181.7,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18181.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUD SPEECH AUDIOMETRY AUTO REC",
			"code_information": [
				{
					"code": "0211T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 103.25,
					"discounted_cash": 65,
					"minimum": 30.98,
					"maximum": 82.6,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 51.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 57.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 30.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 57.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 75.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 50.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 70.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"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": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 58.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 73.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 82.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 59.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 52.66,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 77.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 60.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 58.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 70.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 50.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0212",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21615.4,
					"maximum": 23128.5,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23128.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 21615.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AUD COMPR AUTOMETRY EVAL SPCH",
			"code_information": [
				{
					"code": "0212T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 183.25,
					"discounted_cash": 253,
					"minimum": 54.98,
					"maximum": 183.25,
					"payers_information": [
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 146.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 183.25,
							"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": 146.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 146.6,
							"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": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 93.46,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 146.6,
							"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": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 183.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 54.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0213",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32041.8,
					"maximum": 34284.7,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 34284.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 32041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "US INJ CERVICAL THORACIC 1 LEV",
			"code_information": [
				{
					"code": "0213T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2929.15,
					"discounted_cash": 1480,
					"minimum": 878.75,
					"maximum": 2343.32,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1493.87,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1339.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 1298.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1352.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1594.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 1161.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"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": 2343.32,
							"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": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1765.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1708.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1662.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1601.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 1298.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 878.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1150.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0214",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 50285.2,
					"maximum": 53805.2,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 53805.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 50285.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "US INJ CERVICAL THORACIC 2 LEV",
			"code_information": [
				{
					"code": "0214T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1029.95,
					"minimum": 308.99,
					"maximum": 823.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 308.99,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 525.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "US INJ CERVICAL THORACIC 3 LEV",
			"code_information": [
				{
					"code": "0215T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1029.95,
					"minimum": 308.99,
					"maximum": 823.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 308.99,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 525.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"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": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "US FACET INJ LMBR OR SAC 1 LEV",
			"code_information": [
				{
					"code": "0216T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2929.15,
					"discounted_cash": 1480,
					"minimum": 878.75,
					"maximum": 2343.32,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 1298.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 878.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"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": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 1161.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1708.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1150.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1765.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1366.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1594.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1662.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1352.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1339.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1493.87,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1601.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 1298.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"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": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1138.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 1325.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "US FACET INJ LMBR OR SAC 2 LEV",
			"code_information": [
				{
					"code": "0217T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1029.95,
					"minimum": 308.99,
					"maximum": 823.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 525.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 308.99,
							"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": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "US FACET INJ LMBR OR SAC 3 LEV",
			"code_information": [
				{
					"code": "0218T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1029.95,
					"minimum": 308.99,
					"maximum": 823.96,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 308.99,
							"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": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 823.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 525.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "022",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 46956,
					"minimum": 32890.3,
					"maximum": 65449.8,
					"payers_information": [
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 52735.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 42043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 43344.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 42043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 46956.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 32890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 42043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 42477.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 43344.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 42910.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 50785,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 42043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 60395.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 36842.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 51610.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 42043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 41177.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 55986.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 41177.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 65449.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 36481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 43344.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 36120.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0221",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11753.6,
					"maximum": 12576.3,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12576.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 11753.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0222",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13564.2,
					"maximum": 14513.7,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14513.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0223",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18862,
					"maximum": 20182.3,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20182.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0224",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 35386.8,
					"maximum": 37863.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 37863.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INJ EDRL CREVTHOR US GUIDE SG",
			"code_information": [
				{
					"code": "0228T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2929.15,
					"discounted_cash": 1384,
					"minimum": 878.75,
					"maximum": 2343.32,
					"payers_information": [
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1497.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1075.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 1086.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1650.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1493.87,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 1213.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1490.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1252.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 1213.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1064.87,
							"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": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1265.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1554.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1597.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INJ EDRL CREVTHOR US GUID ADD",
			"code_information": [
				{
					"code": "0229T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1498.55,
					"minimum": 449.56,
					"maximum": 1198.84,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1198.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 449.56,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1198.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 764.26,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR",
			"code_information": [
				{
					"code": "023",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 75712,
					"minimum": 58240.4,
					"maximum": 105532,
					"payers_information": [
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 75712.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 67791.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 67791.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 68490.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 58822.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 69888.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 72695.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 81886,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 90272.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 69888.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 105532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 67791.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 97598.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 66394.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 66394.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 85031,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 69888.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 67791.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 69189.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 67937.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 59405.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 58240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INJ EDRL LUMBARSACRAL US GUID",
			"code_information": [
				{
					"code": "0230T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2929.15,
					"discounted_cash": 1384,
					"minimum": 878.75,
					"maximum": 2343.32,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 878.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 1213.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1650.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1493.87,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1252.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1554.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1497.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 1277.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1490.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 1213.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1597.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1265.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 1064.87,
							"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": 2343.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 1064.87,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1239.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1064.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1075.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES ",
			"code_information": [
				{
					"code": "0231",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13855.5,
					"maximum": 14825.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14825.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13855.5,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INJ EDRL LUMBARSACRAL US ADD",
			"code_information": [
				{
					"code": "0231T",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1498.55,
					"minimum": 449.56,
					"maximum": 1198.84,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 449.56,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 764.26,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES ",
			"code_information": [
				{
					"code": "0232",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 18812.9,
					"maximum": 20129.8,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 18812.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 18812.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 18812.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18812.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20129.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18812.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 18812.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INJ PLSM IMGE GUIDE HRVSTPR",
			"code_information": [
				{
					"code": "0232T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 259.1,
					"discounted_cash": 647,
					"minimum": 77.73,
					"maximum": 259.1,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 207.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 77.73,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 207.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 207.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 132.14,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 207.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 259.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES ",
			"code_information": [
				{
					"code": "0233",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 31657.5,
					"maximum": 33873.5,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 31657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 33873.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES ",
			"code_information": [
				{
					"code": "0234",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 50013,
					"maximum": 53513.9,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 53513.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 50013,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY RENAL PERC",
			"code_information": [
				{
					"code": "0234T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12576.6,
					"discounted_cash": 17868,
					"minimum": 564.6,
					"maximum": 28633.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 12576.6,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12576.6,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13882.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 19243.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 959.82,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1505.6,
							"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": 1505.6,
							"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": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 564.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"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": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21305.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 1882,
							"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": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 19325.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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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 FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Wellcare",
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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 Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"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"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"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"
						},
						{
							"payer_name": "Non contracted 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": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 3772.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1882,
							"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": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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 Commercial Ins Exchange",
							"standard_charge_dollar": 20068,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"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": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"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 Cal-Mediconnect",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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 Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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": "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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 10737.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 1882,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY AORTIC PERC",
			"code_information": [
				{
					"code": "0236T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12576.6,
					"discounted_cash": 17868,
					"minimum": 3772.98,
					"maximum": 28633.2,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"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": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16164.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16329.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21305.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12576.6,
							"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": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12576.6,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16164.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 10737.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 19243.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 19325.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 19325.8,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16329.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20068,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12576.6,
							"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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12576.6,
							"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 Medicare",
							"standard_charge_dollar": 14020.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"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 Cal-Mediconnect",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 19243.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"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": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3772.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12576.6,
							"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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"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 Cal-Mediconnect",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"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": 13882.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20068,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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 Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 10737.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"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": 13882.7,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21305.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12576.6,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"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": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"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"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY BRACHIOCEPHA OPEN",
			"code_information": [
				{
					"code": "0237T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35791.4,
					"discounted_cash": 17868,
					"minimum": 3772.98,
					"maximum": 28633.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"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": 12576.6,
							"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": "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 Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"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",
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							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"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": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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": "Aetna",
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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": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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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": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16164.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 19243.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3772.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16329.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 10737.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 10737.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": 19325.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 19325.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20068,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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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": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 12576.6,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12576.6,
							"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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care 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",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 21305.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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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 Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21305.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12576.6,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3772.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12576.6,
							"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": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16164.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16329.3,
							"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, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 28633.2,
							"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 Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20068,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 15999.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 19243.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16494.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15669.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ATHERECTOMY ILIAC PERC WS&I",
			"code_information": [
				{
					"code": "0238T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 35791.4,
					"discounted_cash": 28481,
					"minimum": 3772.98,
					"maximum": 33958.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 26290.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 25502,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12576.6,
							"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": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services 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"
						},
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
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						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_algorithm": "Not To Exceed $4132",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of 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",
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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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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 25764.9,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 32863.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 22128,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10061.3,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
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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": "PROVIDER SELECT",
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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": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 30804,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 25502,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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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": 22347.1,
							"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 Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 30804,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"standard_charge_dollar": 24976.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 28633.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 24976.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 10737.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 26027.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12576.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 25764.9,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Keenan",
							"plan_name": "Keenan",
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						},
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							"payer_name": "Keenan",
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						},
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							"payer_name": "Naphcare",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services 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": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC",
			"code_information": [
				{
					"code": "024",
					"type": "TRIS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 70450.2,
					"payers_information": [
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
						{
							"payer_name": "Alignment",
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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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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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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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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 CA, VA",
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						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Managed Health Network",
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 44323,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 46189.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 38879.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0241",
					"type": "APR-DRG"
				}
			],
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					"maximum": 9782.18,
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							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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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							"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"
						},
						{
							"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": "Anthem Blue cross",
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							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"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"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0242",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 11358.2,
					"maximum": 12153.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12153.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11358.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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": "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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": 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"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0243",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19777.8,
					"maximum": 21162.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19777.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0244",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34985.5,
					"maximum": 37434.4,
					"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": "L.A 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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34985.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 34985.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "025",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 59411,
					"minimum": 45700.9,
					"maximum": 82810,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 53257.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 46157.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 53195.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 53744.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 52099,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 52099,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 53195.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 70836.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 54841.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 53195.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 54841.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 53640.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 59411.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 64255.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 76509,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 66723.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 82810,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 46614.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 45700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 54292.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 53195.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 54841.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 53195.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "026",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 40717,
					"minimum": 31321.3,
					"maximum": 56754.1,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 37585.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 44037.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 37585.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 37585.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 56754.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 36422.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 31947.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 36458,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 36458,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 36458,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 35706.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 31634.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 48548,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 36833.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 34042.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 37209.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 40717.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 45729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 36458,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 35706.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 31321.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 36458,
							"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": 11679.9,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation 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": 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": 11679.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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 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": 14484.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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 IPA",
							"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": 13537.2,
							"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"
						},
						{
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 14484.8,
							"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": 22282.5,
					"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",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": 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": 22282.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0264",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36478.8,
					"maximum": 39032.3,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 39032.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36478.8,
							"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": "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",
							"standard_charge_dollar": 36478.8,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "027",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 32905,
					"minimum": 25311.9,
					"maximum": 45865.1,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 29386.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 29463,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 30070.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 25818.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 31707.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 29463,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 42217.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 29463,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 30374.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 39233.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 29463,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 25565,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 29463,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 35588.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 45865.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 30374.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 30374.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 29766.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 36955.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 28855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 32905.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 25311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 28855.5,
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0271",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14862.4,
					"maximum": 15902.7,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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",
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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": "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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							"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": 17713.7,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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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							"estimated_amount": 999999999,
							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0273",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 25927.3,
					"maximum": 27742.2,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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",
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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": 27742.2,
							"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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0274",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 44581.1,
					"maximum": 47701.8,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 44581.1,
							"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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 44581.1,
							"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": 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": 80663,
					"minimum": 49862.5,
					"maximum": 112432,
					"payers_information": [
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 87240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 72224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - 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": 90591.1,
							"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": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 104004,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 72224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 70735.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 62669.2,
							"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": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 49862.5,
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 73713.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 74458.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 72396,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 96175.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 112432,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 74458.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 72224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 72224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 70735.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 72224.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 62048.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS",
			"code_information": [
				{
					"code": "029",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 44659,
					"minimum": 31402,
					"maximum": 62248.4,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 50156,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 62248.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 39162.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 39987.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 40811.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 39987.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 39987.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 39987.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 41224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 34696.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 53247.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 39972.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 48300.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 40399.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 39987.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 41224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 31402,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 34353.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 35040.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 41224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 44659.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 57424.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 39162.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0291",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17404.7,
					"maximum": 18623,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18623,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0292",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19693.7,
					"maximum": 21072.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21072.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0293",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21982.8,
					"maximum": 23521.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23521.6,
							"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": 37150.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 37150.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"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",
							"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": "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": 29700,
					"minimum": 22819.2,
					"maximum": 41397.5,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 27415.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 22846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 23074.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 27415.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 22846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 26867.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 22846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 22846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 26499.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 38070.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 23303.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 26044.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 22846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 26593.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 29700.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"methodology": "case rate"
						},
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							"payer_name": "THREE RIVERS",
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							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
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							"payer_name": "Managed Health Network",
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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": "Tricare",
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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",
							"plan_name": "Health Net Of CA Commercial",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0301",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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							"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": "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": "L.A Care Health Plan",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
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						}
					]
				}
			]
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			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0302",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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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						},
						{
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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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			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0303",
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				}
			],
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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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							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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",
					"minimum": 38535.7,
					"maximum": 41233.2,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"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": "L.A 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": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"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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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "031",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 55686,
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					"maximum": 77618,
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							"methodology": "case rate"
						},
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							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 49902.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 60226.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 42835.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 55686.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 43263.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 66395.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 49860.6,
							"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": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 42835.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 62539.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 51402.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 49860.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 28312.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 43692.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 71689.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 42835.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 50888.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 49860.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 42835.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 48832.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 42835.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 48832.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 42835.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 50374.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 51402.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "032",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28512,
					"minimum": 21932.9,
					"maximum": 39742.3,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 36534.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 26056.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22152.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 25529.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 25529.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 28512.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 25003.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 25529.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 33995.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 22371.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 24981,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 26319.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 26319.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 32022,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 25529.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 30837.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 25431.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 25793,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 39742.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 25003.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 25529.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 21932.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "033",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21370,
					"minimum": 16439.2,
					"maximum": 29787.8,
					"payers_information": [
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18740.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 19135.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17336.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 18999.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 19529.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 19727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 25480.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16603.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16768,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 19135.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 19727,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 29787.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24001.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 19135.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19332.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 19135.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 21370.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 23113.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16439.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
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							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "CAROTID ARTERY STENT PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "034",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 51694,
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					"maximum": 72053.6,
					"payers_information": [
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							"payer_name": "Alignment",
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						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
						{
							"payer_name": "Non contracted Medicare",
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						},
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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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": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Imperial Health Plan",
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						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
						{
							"payer_name": "Aetna",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CAROTID ARTERY STENT PROCEDURES WITH CC",
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				{
					"code": "035",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
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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": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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 Commercial",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 23348.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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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",
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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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 27458.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 23815.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 23348.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 32828.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 27899.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 38915.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 27178,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 27178,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 23348.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 28018.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 23348.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 23348.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 23348.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "036",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 24512,
					"minimum": 18856,
					"maximum": 34167,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 21948.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 22174.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 21948.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select 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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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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": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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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": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 27529.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 22627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 21495.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 18856,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 22627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 34167,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACRANIAL PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "037",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 44186,
					"minimum": 33989.3,
					"maximum": 61588.6,
					"payers_information": [
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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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": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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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": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 33989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 44186.1,
							"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"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 39546.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 33989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 40787.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 61588.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 40787.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 33989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 34329.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 38747.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 33989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 33989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 39563.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 33989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 33989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 39971.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 43831,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 40787.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACRANIAL PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "038",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21579,
					"minimum": 16599.9,
					"maximum": 30079,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 22234.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19919.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 19322.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18923.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19521.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 19186.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 16599.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 25729.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"plan_name": "Brand New Day Medicare",
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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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 27565,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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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": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACRANIAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "039",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15324,
					"minimum": 11787.7,
					"maximum": 21359.3,
					"payers_information": [
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							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 14145.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 13438,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 13554.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan 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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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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": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 11787.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19471.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 14145.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13720.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 18271,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 15324,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11787.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 13720.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11787.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11787.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12023.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "040",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 50152,
					"minimum": 38578.7,
					"maximum": 69904.6,
					"payers_information": [
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							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 44905.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 40395.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 45368.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 69904.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 44905.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 38964.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 54241.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 45831.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 43979.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 64530.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 46294.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 46294.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 39350.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 38578.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 44905.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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							"payer_name": "THREE RIVERS",
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						},
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
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						},
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							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
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							"payer_name": "Alignment",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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						}
					]
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			]
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			"description": "SPINAL DISORDERS & INJURIES ",
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				{
					"code": "0401",
					"type": "APR-DRG"
				}
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						},
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						},
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"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": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						}
					]
				}
			]
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			"description": "SPINAL DISORDERS & INJURIES ",
			"code_information": [
				{
					"code": "0402",
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				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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				}
			]
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				{
					"code": "0403",
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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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						},
						{
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						},
						{
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						},
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						},
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						}
					]
				}
			]
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				{
					"code": "0404",
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				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",
			"code_information": [
				{
					"code": "041",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 30133,
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					"maximum": 42002,
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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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						},
						{
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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": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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						},
						{
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							"methodology": "case rate"
						},
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							"payer_name": "USA Senior Care Network",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"standard_charge_dollar": 26981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 23179.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 23179.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 23179.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 23179.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 38631.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 23179.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 23179.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 23179.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 27259.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
				{
					"code": "0411",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6626.96,
					"maximum": 7090.85,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7090.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6626.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
				{
					"code": "0412",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6899.2,
					"maximum": 7382.14,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7382.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
				{
					"code": "0413",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9127.21,
					"maximum": 9766.11,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9127.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9766.11,
							"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": 9127.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9127.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9127.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9127.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9127.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9127.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
				{
					"code": "0414",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13332,
					"maximum": 14265.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14265.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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 IPA",
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation 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"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "042",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 23514,
					"minimum": 18088,
					"maximum": 32775.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 19702.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 21271.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 25431.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 21488.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 20620.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 21705.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 26408.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 21054.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 30067.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20930.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 21054.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 28036.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 21054.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 21054.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 32775.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 23514.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 21705.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 21705.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 21054.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 18449.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 20620.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18268.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 18088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0421",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5734.16,
					"maximum": 6135.55,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6135.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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",
							"standard_charge_dollar": 5734.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 7814.82,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7814.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7303.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7303.57,
							"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": 10634.7,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10634.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0424",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18019.2,
					"maximum": 19280.5,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19280.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18019.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
				{
					"code": "0431",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7142.42,
					"maximum": 7642.39,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"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 IPA",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"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": 7642.39,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 7142.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
				{
					"code": "0432",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9565.6,
					"maximum": 10235.2,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9565.6,
							"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": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9565.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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 IPA",
							"standard_charge_dollar": 9565.6,
							"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": 10235.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
				{
					"code": "0433",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14159.7,
					"maximum": 15150.9,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15150.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14159.7,
							"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": 29507.2,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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 IPA",
							"standard_charge_dollar": 27576.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 29507.2,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 27576.8,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0441",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6438.79,
					"maximum": 6889.51,
					"payers_information": [
						{
							"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",
							"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": 6889.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6438.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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 IPA",
							"standard_charge_dollar": 6438.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6438.79,
							"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": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0442",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 9584.04,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
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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": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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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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							"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": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0443",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 11685.5,
					"maximum": 12503.5,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "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",
							"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": "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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							"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 Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "0444",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13398,
					"maximum": 14335.9,
					"payers_information": [
						{
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14335.9,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 13398,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CVA & PRECEREBRAL OCCLUSION W INFARCT ",
			"code_information": [
				{
					"code": "0451",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6753.07,
					"maximum": 7225.78,
					"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": "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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CVA & PRECEREBRAL OCCLUSION W INFARCT ",
			"code_information": [
				{
					"code": "0452",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 8970.39,
					"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 IPA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"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": "L.A 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 Medi-Cal",
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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": [
				{
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					"maximum": 12047.3,
					"payers_information": [
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11259.1,
							"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",
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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": 11259.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11259.1,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "CVA & PRECEREBRAL OCCLUSION W INFARCT ",
			"code_information": [
				{
					"code": "0454",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17288.5,
					"maximum": 18498.8,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17288.5,
							"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",
							"standard_charge_dollar": 18498.8,
							"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",
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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"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
			"code_information": [
				{
					"code": "0461",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 5729.15,
					"maximum": 6130.19,
					"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6130.19,
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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": "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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5729.15,
							"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": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
			"code_information": [
				{
					"code": "0462",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6862.17,
					"maximum": 7342.52,
					"payers_information": [
						{
							"payer_name": "Molina",
							"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",
							"standard_charge_dollar": 6862.17,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6862.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"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 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",
							"standard_charge_dollar": 7342.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6862.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6862.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
			"code_information": [
				{
					"code": "0463",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8629.76,
					"maximum": 9233.84,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9233.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 8629.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WO INFARCT ",
			"code_information": [
				{
					"code": "0464",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16848.2,
					"maximum": 18027.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18027.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16848.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA ",
			"code_information": [
				{
					"code": "0471",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5690.12,
					"maximum": 6088.43,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6088.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5690.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA ",
			"code_information": [
				{
					"code": "0472",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6521.86,
					"maximum": 6978.39,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 6079,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6521.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6978.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA ",
			"code_information": [
				{
					"code": "0473",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8228.4,
					"maximum": 8804.39,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8804.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA ",
			"code_information": [
				{
					"code": "0474",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13955.5,
					"maximum": 14932.4,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14932.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
			"code_information": [
				{
					"code": "0481",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5325.79,
					"maximum": 5698.6,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5698.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5325.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
			"code_information": [
				{
					"code": "0482",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6129.51,
					"maximum": 6558.58,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6129.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6558.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
			"code_information": [
				{
					"code": "0483",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8359.52,
					"maximum": 8944.69,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 8359.52,
							"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",
							"standard_charge_dollar": 8359.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8359.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8359.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8359.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8944.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8359.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS ",
			"code_information": [
				{
					"code": "0484",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16100.5,
					"maximum": 17227.5,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16100.5,
							"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",
							"standard_charge_dollar": 16100.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16100.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16100.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17227.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16100.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16100.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0491",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7579.82,
					"maximum": 8110.41,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8110.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7579.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0492",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16146.5,
					"maximum": 17276.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16146.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16146.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17276.8,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16146.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16146.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16146.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16146.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16146.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0493",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17910.1,
					"maximum": 19163.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19163.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17910.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0494",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 29452.5,
					"maximum": 31514.2,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 31514.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 29452.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0501",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5876.28,
					"maximum": 6287.62,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5876.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6287.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5876.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5876.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5876.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5876.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5876.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0502",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9930.93,
					"maximum": 10626.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10626.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9930.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9930.93,
							"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": [
				{
					"setting": "inpatient",
					"minimum": 15691.1,
					"maximum": 16789.5,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": 15691.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16789.5,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15691.1,
							"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"
						},
						{
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"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",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 30975.8,
					"maximum": 33144.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 30975.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 30975.8,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 30975.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 30975.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 30975.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 33144.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0511",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4229.8,
					"maximum": 4525.89,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4229.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4229.8,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4229.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4229.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 4229.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4229.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4229.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4229.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0512",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6281.65,
					"maximum": 6721.37,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6281.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6281.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6281.65,
							"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": "Anthem Blue cross",
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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": 6281.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6281.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6281.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6281.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0513",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10619.5,
					"maximum": 11362.9,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10619.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10619.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10619.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10619.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10619.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10619.5,
							"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",
							"standard_charge_dollar": 11362.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10619.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0514",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19416.5,
					"maximum": 20775.6,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20775.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19416.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL DISORDERS AND INJURIES WITH CCMCC",
			"code_information": [
				{
					"code": "052",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 26884,
					"minimum": 20680.8,
					"maximum": 50543.3,
					"payers_information": [
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 24816.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 32055.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 24072.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 23965.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 24568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 26885,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 24072.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 29077.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 34428.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 21094.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 24320.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 37473.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 23576.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 24072.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 24816.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 20887.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 24072.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 20680.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 23576.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 24072.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 24816.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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 Commercial Ins Exchange",
							"standard_charge_dollar": 30193.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS ",
			"code_information": [
				{
					"code": "0521",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 4963.46,
					"maximum": 5310.9,
					"payers_information": [
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS ",
			"code_information": [
				{
					"code": "0522",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 6267.28,
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "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"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALTERATION IN CONSCIOUSNESS ",
			"code_information": [
				{
					"code": "0523",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 8392.06,
					"payers_information": [
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							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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",
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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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							"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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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"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": 17285.3,
					"payers_information": [
						{
							"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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "SPINAL DISORDERS AND INJURIES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "053",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 12457,
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					"maximum": 17363.5,
					"payers_information": [
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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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": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 11269,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
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							"payer_name": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 11154,
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							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 11154,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11499,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11384,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10924,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9582.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12457.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9774.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11499,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10924,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SEIZURE ",
			"code_information": [
				{
					"code": "0531",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 4137.72,
					"maximum": 4427.36,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4137.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4137.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4137.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4427.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4137.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Anthem Blue cross",
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						},
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							"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"
						}
					]
				}
			]
		},
		{
			"description": "SEIZURE ",
			"code_information": [
				{
					"code": "0532",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 5756.43,
					"payers_information": [
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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": "Molina",
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						},
						{
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "SEIZURE ",
			"code_information": [
				{
					"code": "0533",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "Non-Contracted Medi-Cal",
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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": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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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": "Traditional Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "SEIZURE ",
			"code_information": [
				{
					"code": "0534",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 17700.9,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "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": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM NEOPLASMS WITH MCC",
			"code_information": [
				{
					"code": "054",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"payers_information": [
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Non contracted Medicare",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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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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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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						},
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						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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						},
						{
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Tricare",
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						},
						{
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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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							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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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"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MIGRAINE & OTHER HEADACHES ",
			"code_information": [
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					"code": "0541",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"payers_information": [
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							"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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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4880.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4880.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MIGRAINE & OTHER HEADACHES ",
			"code_information": [
				{
					"code": "0542",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 5833.25,
					"maximum": 6241.58,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5833.25,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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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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							"payer_name": "L.A Care Health Plan",
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						},
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						}
					]
				}
			]
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			"description": "MIGRAINE & OTHER HEADACHES ",
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					"code": "0543",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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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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						},
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						},
						{
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
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					"code": "0544",
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				}
			],
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					"setting": "inpatient",
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM NEOPLASMS WITHOUT MCC",
			"code_information": [
				{
					"code": "055",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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							"payer_name": "Brand New Day",
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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": "Non contracted Medicare",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
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						},
						{
							"payer_name": "Molina",
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						},
						{
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						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
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						},
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						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
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						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE ",
			"code_information": [
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					"code": "0551",
					"type": "APR-DRG"
				}
			],
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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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						},
						{
							"payer_name": "L.A 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": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE ",
			"code_information": [
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					"code": "0552",
					"type": "APR-DRG"
				}
			],
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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": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7717.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 7717.94,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE ",
			"code_information": [
				{
					"code": "0553",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 11650.5,
					"maximum": 12466,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 11650.5,
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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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12466,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11650.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11650.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE ",
			"code_information": [
				{
					"code": "0554",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20939.8,
					"maximum": 22405.6,
					"payers_information": [
						{
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20939.8,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20939.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20939.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 22405.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 20939.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20939.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC",
			"code_information": [
				{
					"code": "056",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 33385,
					"minimum": 25681.1,
					"maximum": 46534.1,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 29892.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 39805.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 36107.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 29892.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 46534.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 8427,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 29276.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 29276.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 30410,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 29892.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 30817.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 29892.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 30817.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 26194.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 29892.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 30817.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 30509.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 29820.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 25937.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 25681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 37494.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 42838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 33385.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 30201,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0561",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5182.66,
					"maximum": 5545.45,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5545.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5182.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0562",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6923.23,
					"maximum": 7407.86,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7407.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6923.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0563",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10481.4,
					"maximum": 11215.1,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11215.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0564",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16751.1,
					"maximum": 17923.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17923.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16751.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC",
			"code_information": [
				{
					"code": "057",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17918,
					"minimum": 13783.4,
					"maximum": 24975.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20123.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16540.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13921.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 19379.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15713,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 16043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 22828,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24975.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16209.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16540.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 16043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15713,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 16043.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 15894.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21364.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14059,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16540.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21073.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16374.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 17918.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 16043.9,
							"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"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4689.22,
					"maximum": 5017.47,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4689.22,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5017.47,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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 IPA",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": [
				{
					"setting": "inpatient",
					"minimum": 7084.37,
					"maximum": 7580.28,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7580.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0573",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10355.3,
					"maximum": 11080.2,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10355.3,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"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"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11080.2,
							"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": 17404.2,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16265.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16265.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17404.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16265.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16265.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16265.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16265.6,
							"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",
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						}
					]
				}
			]
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			"description": "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC",
			"code_information": [
				{
					"code": "058",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 24682,
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					"payers_information": [
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							"payer_name": "USA Senior Care Network",
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						},
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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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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"standard_charge_dollar": 18986.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 22099.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 18986.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 22099.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 19176,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 22099.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 34402.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 27719.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 31578.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 22783.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 21644.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional 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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 21644.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 18986.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18986.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 22099.9,
							"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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM ",
			"code_information": [
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					"code": "0581",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "OTHER DISORDERS OF NERVOUS SYSTEM ",
			"code_information": [
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					"code": "0582",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 9746.83,
					"payers_information": [
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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",
							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9109.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0583",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 11770.6,
					"maximum": 12594.5,
					"payers_information": [
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							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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",
							"standard_charge_dollar": 11770.6,
							"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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							"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",
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							"standard_charge_dollar": 12594.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM ",
			"code_information": [
				{
					"code": "0584",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16381.7,
					"maximum": 17528.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17528.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16381.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC",
			"code_information": [
				{
					"code": "059",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 16453,
					"minimum": 12656.4,
					"maximum": 22933.3,
					"payers_information": [
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 14428.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 15187.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 20932.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12656.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 22933.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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							"payer_name": "Alignment",
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						},
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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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						},
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
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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": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
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							"payer_name": "Employer Direct Healthcare",
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						},
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						},
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						},
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						},
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						},
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						},
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			]
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			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE ",
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					"code": "0591",
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				}
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						},
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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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						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
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			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE ",
			"code_information": [
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					"code": "0594",
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				}
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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					]
				}
			]
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			"description": "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC",
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					"code": "060",
					"type": "MS-DRG"
				}
			],
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10810.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9380.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9473.27,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10587.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11033.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10627.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10810.7,
							"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",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15266.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 10810.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 13058.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 10922.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11145,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9287.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11145,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10810.7,
							"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": [
				{
					"setting": "inpatient",
					"discounted_cash": 36020,
					"minimum": 27708.3,
					"maximum": 50207.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 32252.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 32252.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 38957.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 32252.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 32252.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 28262.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 50207.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 36020.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 40454.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 31587.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 32917.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 32252.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 31923.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 31587.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 32192.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 42947.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 33250,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 46247.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 33250,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 32585,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 33250,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 27708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 27985.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 27708.3,
							"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": 23822,
					"minimum": 18325,
					"maximum": 33204.9,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 28403.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 23822.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 25764.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18508.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 20890.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 21330.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 18691.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 21990,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 26754.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 21550.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 33204.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 21330.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 20890.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 21207.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 30466.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 21990,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 21330.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20614.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 21330.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 21330.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 21990,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 18325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 21770.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC",
			"code_information": [
				{
					"code": "063",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18849,
					"minimum": 14499.5,
					"maximum": 26273,
					"payers_information": [
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 17399.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 16529.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 16529.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 26273,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 17225.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 17399.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 16877.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 17051.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 18849.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 24032.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16877.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14789.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 18329.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 16877.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 22474.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 16728.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 20386.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14644.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 16877.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 16877.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 17399.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 14499.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 21169.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC",
			"code_information": [
				{
					"code": "064",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 26576,
					"minimum": 20443.7,
					"maximum": 37044.1,
					"payers_information": [
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 29847.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 23796.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 28743.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 23796.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 20648.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 37044.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 34029.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 23796.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 24287.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 20852.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 23305.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 23796.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 23688.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 24532.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 24532.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 23305.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 31687.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 26576.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 23796.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 24041.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 24532.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 20443.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 26034.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS",
			"code_information": [
				{
					"code": "065",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13720,
					"minimum": 10553.9,
					"maximum": 19123.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12031.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 16358.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12664.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17396.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 12664.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12664.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12031.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12284.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12284.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12284.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10659.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 19123.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12284.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 13720.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10553.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12111.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 14097.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 10765,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12284.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 14838.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12538,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15408.7,
							"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": 9374,
					"minimum": 7211.49,
					"maximum": 13067.2,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 8653.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 8196.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 8394.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 8480.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7283.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 8394.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 13067.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 8221.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 8653.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10528.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 8394.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 10139.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7355.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8653.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8394.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8221.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 8567.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8394.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 11177.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11775,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7211.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 9374.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10814.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7211.49,
							"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": 19511,
					"minimum": 9880.08,
					"maximum": 27196.4,
					"payers_information": [
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 24889.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 15309.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 19511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 21913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 17337.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 27196.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 18010.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 15159.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 18010.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 17470.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 17110.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 17470.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 17470.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17470.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 18010.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 17830.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 23264,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 17110.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 17650.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 21102.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 15009.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC",
			"code_information": [
				{
					"code": "068",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11929,
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					"maximum": 16628.1,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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 CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11012,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10681.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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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": 9360.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10681.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10461.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 11929.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 10901.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 10791.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10461.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15080.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9268.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10681.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13397.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11012,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10681.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 14223.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10499,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11416,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12902.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16628.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 9176.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 11012,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC",
			"code_information": [
				{
					"code": "069",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10853,
					"minimum": 8348.69,
					"maximum": 15127.8,
					"payers_information": [
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9717.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12189.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10018.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9717.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9517.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15127.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13687.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9517.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8515.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9918.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9529.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12940.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 10018.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9818.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 10018.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 7362,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10358.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8432.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9717.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9717.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9717.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8348.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11738.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 10853.3,
							"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": 23265,
					"minimum": 17896.8,
					"maximum": 32429,
					"payers_information": [
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 21261.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 21476.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 20831.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 21046.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 20402.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 18254.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 21476.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 32429,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20706.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 20831.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 20402.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 20831.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 26129.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 25162.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 27740,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 20831.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 19337.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 23265.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18075.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 29746.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 21476.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 17896.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 20831.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 17896.8,
							"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": 14209,
					"minimum": 10930.2,
					"maximum": 19805.6,
					"payers_information": [
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12722.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12722.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 13116.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12985.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12854,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 19805.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12722.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12722.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14209.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12460.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 13116.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 15367.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15958.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12549.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12722.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11039.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11148.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18029.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12196.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 10930.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 13116.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12460.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 16941.9,
							"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": 10193,
					"minimum": 7841.12,
					"maximum": 14208.1,
					"payers_information": [
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9315.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 9409.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11024.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11448,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9127.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9127.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14208.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 9409.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10262.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9127.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8938.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9127.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 8938.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9127.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12153.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7919.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 10193.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9221.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7997.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 9409.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12833.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 8932.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7841.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC",
			"code_information": [
				{
					"code": "073",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20711,
					"minimum": 15931.6,
					"maximum": 28868.1,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 18405.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 20711.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 24694,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 18544.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16250.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 23986.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 28868.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18162,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 18544.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 18735.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 26441,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 18162,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18544.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 22399.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 18544.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 19117.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16090.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 18926.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 18544.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 23260.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 15755,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19117.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 19117.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 15931.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ORBIT AND EYE PROCEDURES ",
			"code_information": [
				{
					"code": "0731",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8008.2,
					"maximum": 8568.77,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation 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": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ORBIT AND EYE PROCEDURES ",
			"code_information": [
				{
					"code": "0732",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 9847.86,
					"maximum": 10537.2,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "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": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ORBIT AND EYE PROCEDURES ",
			"code_information": [
				{
					"code": "0733",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 15506.9,
					"maximum": 16592.4,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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",
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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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ORBIT AND EYE PROCEDURES ",
			"code_information": [
				{
					"code": "0734",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 28271.4,
					"maximum": 30250.4,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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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": "Blue Shield Of Promise",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC",
			"code_information": [
				{
					"code": "074",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14057,
					"minimum": 10813.3,
					"maximum": 19593.6,
					"payers_information": [
						{
							"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": "CORVEL",
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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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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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": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 10987,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12586.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12586.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14057.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12975.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 19593.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12586.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12586.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12586.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 16760.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11029.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12716.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15787.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 10905,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12413.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10813.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS WITH CCMCC",
			"code_information": [
				{
					"code": "075",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 23048,
					"minimum": 11308.4,
					"maximum": 32126.7,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11308.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 20212.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 27481.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 20212.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 18084.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 20637.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 29465.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 21063.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 17907.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 21275.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 21275.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 21275.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 25885.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 23048.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 32126.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 20637.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 24928.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 20637.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 20637.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 20637.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 17730,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 20850.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 19794,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "076",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12397,
					"minimum": 6998.88,
					"maximum": 17280.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 11100.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 11100.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15685.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 11100.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10871.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10871.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12397.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9727.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 13408.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17280.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11444.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6998.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11100.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 11444.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11215.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 11100.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9632.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10919.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13923.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 14781.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11329.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9536.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11444.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITH MCC",
			"code_information": [
				{
					"code": "077",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20720,
					"minimum": 15938.7,
					"maximum": 28881,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 18552.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 19126.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18552.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 26453,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 18552.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 24705,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 18413.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 22409.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18170.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 23270.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 18935.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19126.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16098.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 18552.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 20720.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 28881,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 18552.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 19126.5,
							"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": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16257.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 19618.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 18170.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 15938.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 18744,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITH CC",
			"code_information": [
				{
					"code": "078",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13468,
					"minimum": 9165.34,
					"maximum": 18773.5,
					"payers_information": [
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12432.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 11882.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 11811.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 10567.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12184.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10464.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12059.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 12432.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12059.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 16059,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12432.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18773.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12059.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 13468.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17071.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 14567,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15126.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10360.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12059.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9165.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 11811.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12059.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12308.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "079",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9089,
					"minimum": 6991.78,
					"maximum": 12669.1,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7131.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 10837.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 8390.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9619.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 8222.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11405.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7061.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 8138.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 9830.44,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8138.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12669.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8390.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 8306.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 8138.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8138.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 7970.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 8138.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10208,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": 6991.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 8390.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 9089.31,
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONTRAUMATIC STUPOR AND COMA WITH MCC",
			"code_information": [
				{
					"code": "080",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 26558,
					"minimum": 17516.5,
					"maximum": 37018.3,
					"payers_information": [
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 23780,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 20838.1,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 23780,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 24025.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 23289.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 31665.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 23454.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 23780,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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 Commercial Enhanced PPO",
							"standard_charge_dollar": 28723.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 37018.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 24270.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 23780,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 24515.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 29827.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 20429.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONTRAUMATIC STUPOR AND COMA WITHOUT MCC",
			"code_information": [
				{
					"code": "081",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12237,
					"minimum": 6774.28,
					"maximum": 17057.5,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17057.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11296.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13743.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6774.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10731.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 14591.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10731.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15478.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 11296.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11183.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10957.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9601.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11070.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12237.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9507.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10957.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 13235.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10957.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10957.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11296.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 9413.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC",
			"code_information": [
				{
					"code": "082",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 30953,
					"minimum": 23810.5,
					"maximum": 43144.7,
					"payers_information": [
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							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 23810.5,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 27715.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 34763.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 23810.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 27630.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 23810.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 27715.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 23810.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 27144,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 39692.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 27715.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 28001.2,
							"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",
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							"standard_charge_dollar": 23810.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 28572.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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 Medicare",
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							"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": "Traditional Medicare",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"standard_charge_dollar": 27144,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EYE INFECTIONS AND OTHER EYE DISORDERS ",
			"code_information": [
				{
					"code": "0821",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"payers_information": [
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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"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EYE INFECTIONS AND OTHER EYE DISORDERS ",
			"code_information": [
				{
					"code": "0822",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 6204.08,
					"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": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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",
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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": "EYE INFECTIONS AND OTHER EYE DISORDERS ",
			"code_information": [
				{
					"code": "0823",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 8448.6,
					"maximum": 9040,
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EYE INFECTIONS AND OTHER EYE DISORDERS ",
			"code_information": [
				{
					"code": "0824",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 15517,
					"maximum": 16603.1,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15517,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16603.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC",
			"code_information": [
				{
					"code": "083",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18658,
					"minimum": 14353,
					"maximum": 26007.6,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 14855.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 14353,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14353,
							"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": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20955.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14353,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 16362.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 16706.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 26007.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16879.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 17051.3,
							"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": "Alignment",
							"plan_name": "Alignment 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 20180.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 14353,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 17223.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 16706.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14640,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 16362.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 23786,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 14353,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 14353,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 14353,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC",
			"code_information": [
				{
					"code": "084",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 12916,
					"minimum": 9935.46,
					"maximum": 18003,
					"payers_information": [
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							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18003,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10241.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 11564.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 11385,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14505.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 11922.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11922.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11684.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 11564.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 11564.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 13969.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 11564.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11564.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 9935.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10034.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 15400,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC",
			"code_information": [
				{
					"code": "085",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 30237,
					"minimum": 23259.2,
					"maximum": 42145.7,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 15380,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 33958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 32702.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 38765.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 27073.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 27911.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 27073.8,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 26984.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 27911.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 27073.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 26515.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 42145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 27352.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 25418.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 27632,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 23724.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 30237,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 27073.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 27073.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 27911.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 36051.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 26515.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 23259.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC",
			"code_information": [
				{
					"code": "086",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17616,
					"minimum": 13551.5,
					"maximum": 24555.3,
					"payers_information": [
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15773.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15448.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13551.5,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 15773.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 15773.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 19785.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 17616.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 19053.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 13822.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21004.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24555.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16261.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16261.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16261.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15448.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 15619.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13687,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 22437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 15773.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13551.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 15936.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 15773.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16099.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CCMCC",
			"code_information": [
				{
					"code": "087",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11962,
					"minimum": 9202.08,
					"maximum": 16674.2,
					"payers_information": [
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15122.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10490.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 10821.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11042.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 11962.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10527.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 10711.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 10932.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13435,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10711.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9294.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12938.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 9202.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11958.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16674.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11042.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION WITH MCC",
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				{
					"code": "088",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 18927,
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					"maximum": 26381.8,
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 24133.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 14559.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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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",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted 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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 20470.6,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION WITH CC",
			"code_information": [
				{
					"code": "089",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 14449,
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					"maximum": 20141,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18340.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 13205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12938.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 13338.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 13338.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17054.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14450,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12938.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 13338.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 17228.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16228.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12938.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11115.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11337.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 13071.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12767.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 15628.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0891",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13178.9,
					"maximum": 14101.4,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
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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": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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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							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0892",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17501.7,
					"maximum": 18726.9,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17501.7,
							"estimated_amount": 999999999,
							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0893",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 33411,
					"maximum": 35749.8,
					"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": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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",
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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",
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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": "Anthem Blue cross",
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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": 33411,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0894",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 47417.6,
					"maximum": 50736.9,
					"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": "Traditional Medi-Cal",
							"plan_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",
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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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "090",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11609,
					"minimum": 8930.5,
					"maximum": 16182.1,
					"payers_information": [
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							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 Commercial",
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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": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10716.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10180.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10395.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 10716.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10395.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14666.1,
							"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 Ins Exchange",
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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": "CORVEL",
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							"standard_charge_dollar": 10180.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8930.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 13842.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 10502.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10208.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9019.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10395.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12556.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10395.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 10609.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9109.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8930.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8930.5,
							"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": 24377,
					"minimum": 18752.2,
					"maximum": 33979,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 27378.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 22502.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 21827.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 29065.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 21827.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 22502.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 21377.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 22052.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 21707.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 22277.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 21827.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 21827.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 21827.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20682,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 24377.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 31184.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 33979,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 22502.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 19127.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18939.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 26365.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 18752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 21377.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 18752.2,
							"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": 14089.6,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14089.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0912",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19333.4,
					"maximum": 20686.7,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20686.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0913",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34859.3,
					"maximum": 37299.5,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 37299.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0914",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 55890.3,
					"maximum": 59802.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": 59802.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITH CC",
			"code_information": [
				{
					"code": "092",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14272,
					"minimum": 10979.1,
					"maximum": 19894.1,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12609.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12779.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11088.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12911.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14272.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18111.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16029.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 13043.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 13174.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 13174.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12779.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11198.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12516.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12779.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12779.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 17017.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12444.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12516.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 13174.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12779.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 15436.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 19894.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0921",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11224.1,
					"maximum": 12009.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12009.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0922",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14356.9,
					"maximum": 15361.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15361.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0923",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22408.2,
					"maximum": 23976.7,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23976.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0924",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40213.2,
					"maximum": 43028.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 43028.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC",
			"code_information": [
				{
					"code": "093",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10710,
					"minimum": 7788.49,
					"maximum": 14928.8,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9787.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13502.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9399.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8321.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12028.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9392.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9688.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 9886.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 9886.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14928.8,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 9392.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12770.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8238.83,
							"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": 8403.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8238.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9590,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 9886.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11583.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC",
			"code_information": [
				{
					"code": "094",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 48520,
					"minimum": 37323.5,
					"maximum": 67630.3,
					"payers_information": [
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							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"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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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"standard_charge_dollar": 43444.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 62419.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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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": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 52476.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 38070,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 37696.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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 Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 43444.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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 Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 48520.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 37323.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 44788.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 37323.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 42548.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 37323.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 37323.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 67630.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC",
			"code_information": [
				{
					"code": "095",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 31971,
					"minimum": 24593.8,
					"maximum": 44563.9,
					"payers_information": [
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							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 28036.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 24839.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 28545.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 44563.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 29512.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 25085.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 29217.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 35906.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 38120.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 29512.5,
							"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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							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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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": "Worker comp",
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						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0951",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7248.52,
					"maximum": 7755.92,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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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"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
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			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0952",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8136.32,
					"maximum": 8705.86,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": 8136.32,
							"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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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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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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						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0953",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 12420,
					"payers_information": [
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							"payer_name": "Molina",
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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": "L.A 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": "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": "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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						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0954",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19316.4,
					"maximum": 20668.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"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": 31971,
					"minimum": 24593.8,
					"maximum": 44563.9,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 29217.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 29512.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 31971.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 29512.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 28036.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 35906.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 25085.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 28627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 34578.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 38120.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 24593.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 28922.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 28691.5,
							"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": 47672,
					"minimum": 36671.5,
					"maximum": 66448.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 66448.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 42691.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 42685.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 44286.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 43125.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 37038.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 43565.8,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 47673,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 44005.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 37404.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 44005.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 42685.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 42685.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 42685.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 53540.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 51560.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 42685.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 44005.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 56840.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 36671.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 61322.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 41805.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 41805.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TONSIL & ADENOID PROCEDURES ",
			"code_information": [
				{
					"code": "0971",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4718.24,
					"maximum": 5048.52,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5048.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4718.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TONSIL & ADENOID PROCEDURES ",
			"code_information": [
				{
					"code": "0972",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6943.24,
					"maximum": 7429.27,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7429.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6943.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TONSIL & ADENOID PROCEDURES ",
			"code_information": [
				{
					"code": "0973",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11042.9,
					"maximum": 11815.9,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11815.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 11042.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TONSIL & ADENOID PROCEDURES ",
			"code_information": [
				{
					"code": "0974",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20832.7,
					"maximum": 22291,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 22291,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20832.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC",
			"code_information": [
				{
					"code": "098",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28958,
					"minimum": 22275.7,
					"maximum": 40363.5,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 22275.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 22275.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 22275.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 25928.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 25394.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 26730.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 22275.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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						},
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							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
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							"payer_name": "Naphcare",
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							"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": "Astiva Health Inc",
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							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
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							"payer_name": "Tricare",
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						},
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							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 40363.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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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 Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 25394.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 22275.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 25928.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22498.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 25928.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 22275.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 25928.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 31319.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
				{
					"code": "0981",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"payers_information": [
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Non-Contracted Medi-Cal",
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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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					"setting": "inpatient",
					"minimum": 10031,
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 10031,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
				{
					"code": "0983",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 18055.4,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
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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": "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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation 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": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
				{
					"code": "0984",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 32205,
					"maximum": 34459.3,
					"payers_information": [
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							"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"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 32205,
							"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": "Molina",
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							"standard_charge_dollar": 32205,
							"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": "Blue Shield Of Promise",
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							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "099",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18697,
					"minimum": 14382.5,
					"maximum": 26061.1,
					"payers_information": [
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							"payer_name": "CORVEL",
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							"standard_charge_dollar": 16396,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 14382.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 14382.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 22292.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14382.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 17086.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16741.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 14382.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14670.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14382.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16913.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 17259,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14526.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 17259,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20998.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 14382.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"methodology": "case rate"
						},
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							"payer_name": "Renal Payer Solutions",
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						},
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							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "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 CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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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": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						}
					]
				}
			]
		},
		{
			"description": "SEIZURES WITH MCC",
			"code_information": [
				{
					"code": "100",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 26525,
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					"maximum": 36972.2,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care 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 Commercial",
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						},
						{
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						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"estimated_amount": 999999999,
							"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": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 8037,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 29790,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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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": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": "Molina",
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							"estimated_amount": 20853,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services 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"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 23750.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FNA BX WUS GDN 1ST LES",
			"code_information": [
				{
					"code": "10005",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
					"gross_charge": 2896.7,
					"discounted_cash": 1142,
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					"maximum": 2317.36,
					"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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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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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"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1033.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 117.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 1002.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1044.32,
							"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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 119.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1362.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 879.06,
							"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": "Tricare",
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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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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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"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1023.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Fna bx wus gdn ea addl",
			"code_information": [
				{
					"code": "10006",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"minimum": 51.75,
					"maximum": 400,
					"payers_information": [
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue cross",
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							"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": "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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 51.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "FNA Immediate Evaluation",
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				{
					"code": "10021",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 69.39,
					"discounted_cash": 647,
					"minimum": 20.82,
					"maximum": 772.21,
					"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": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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": "Traditional 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": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 73.34,
							"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",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"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 MSSP",
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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": 77.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 69.39,
							"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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.95,
							"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 Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 73.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 69.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 69.39,
							"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": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 73.34,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services 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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF 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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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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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": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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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": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 35.39,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 78.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 55.51,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 73.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "IMG GUID FLUID COLL SFT TISS",
			"code_information": [
				{
					"code": "10030",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3050.05,
					"discounted_cash": 1142,
					"minimum": 133.28,
					"maximum": 2440.04,
					"payers_information": [
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							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
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							"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": "Keenan",
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							"standard_charge_dollar": 915.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1023.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1023.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1054.87,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1555.53,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"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": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 133.28,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1023.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1033.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 133.28,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1362.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 1002.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1054.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 1002.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1044.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 139.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 1023.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"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 Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": 142.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "I&D ABCESS",
			"code_information": [
				{
					"code": "10060",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 917,
					"discounted_cash": 325,
					"minimum": 60.88,
					"maximum": 733.6,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 163.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 65.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 529.35,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 435.2,
							"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 Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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 Medicare",
							"plan_name": "Traditional 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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 449.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"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": 60.88,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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 Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 733.6,
							"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": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 467.67,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 529.35,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "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": "MULTIPLAN",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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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": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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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",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 65.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 426.46,
							"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": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 271.87,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 426.46,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 733.6,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"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",
							"standard_charge_dollar": 65.14,
							"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",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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": "Health Net Of CA",
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							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "Anthem Blue cross",
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							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 63.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 159.92,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 63.92,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 426.46,
							"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": 277.44,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 275.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"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": 733.6,
							"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-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 264.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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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": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 435.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 733.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 435.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 65.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Wellcare",
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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": 63.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 426.46,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "I&D COMPLES",
			"code_information": [
				{
					"code": "10061",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 826,
					"discounted_cash": 647,
					"minimum": 108.67,
					"maximum": 1066.75,
					"payers_information": [
						{
							"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 Exchange",
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1066.75,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 108.67,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 660.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 800.06,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"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": "Molina",
							"plan_name": "Molina Exchange",
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 660.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 421.26,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network 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-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 660.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 108.67,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 114.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 400.03,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 544,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 435.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 114.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 108.67,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 116.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 544,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 435.2,
							"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": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 163.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 435.2,
							"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 Medicare",
							"standard_charge_dollar": 508.16,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 826.18,
							"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": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 309.82,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 277.44,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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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": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": 826.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"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": "Wellcare",
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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 IPA",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 114.1,
							"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 Medicare",
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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": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 544,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 116.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": 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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"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 Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"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": 116.28,
							"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": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 800.06,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 579.9,
							"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": "ZELIS HEALTHCARE",
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							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 116.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 526.69,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 826.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 544,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 660.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 247.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 544,
							"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",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 114.1,
							"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 Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 435.2,
							"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 IPA",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 826.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 680.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 108.67,
							"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 Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "I&d pilonidal cyst simple",
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				{
					"code": "10080",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 2313.8,
					"discounted_cash": 1142,
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					"maximum": 1851.04,
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							"payer_name": "Blue Shield Of Promise",
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							"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": "Worker comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"standard_charge_dollar": 1023.23,
							"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 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 IPA",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 82.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1054.87,
							"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": "Molina",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": "Anthem Blue cross",
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							"standard_charge_dollar": 1851.04,
							"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": 1851.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1023.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
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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": "PROVIDER NETWORK OF AMERICA",
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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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Managed Health Network",
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							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 887.85,
							"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": 12461,
					"minimum": 8864.7,
					"maximum": 17369,
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							"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": "Alignment",
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							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 11502.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9681.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 11157.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 11157.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 11157.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 12461.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 14857.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": 13994.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9777.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10927.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 364.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 11157.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 8864.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 232.56,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 364.8,
							"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 Enhanced PPO",
							"standard_charge_dollar": 13477.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10927.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17369,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11387.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11502.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 9765,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10975.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11272.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9585.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15767.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 364.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INCISIONREM FB SUBQ SMP",
			"code_information": [
				{
					"code": "10120",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1578.25,
					"discounted_cash": 647,
					"minimum": 74.23,
					"maximum": 20118,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 804.91,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 800.06,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"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": 79.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 473.48,
							"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": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"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": 79.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 747.3,
							"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": "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": 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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1262.6,
							"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": 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": 20118,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"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": 74.23,
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.6,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 77.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1066.75,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 7544.25,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 800.06,
							"standard_charge_percentage": 60.0,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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 Exchange",
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"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": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 400.03,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 20118,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 20118,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.6,
							"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 Medi-Cal",
							"standard_charge_dollar": 79.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1262.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 77.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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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": 680.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 498.2,
							"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": "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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 20118,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 77.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day 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": 74.23,
							"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"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 74.23,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 74.23,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Inc&rmvl fb subq tiss comp",
			"code_information": [
				{
					"code": "10121",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5251,
					"discounted_cash": 2633,
					"minimum": 134.7,
					"maximum": 5266.84,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 2848.12,
							"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": "Aetna",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"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": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"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 Commercial",
							"standard_charge_dollar": 2678.01,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2382.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 144.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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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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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 134.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day 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": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3357.61,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"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": "Worker comp",
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							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3139.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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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": "Aetna",
							"plan_name": "Aetna 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 Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 MSSP",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2406.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2309.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 2835.97,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3139.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 4200.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4200.8,
							"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": 4200.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2309.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 2848.12,
							"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": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": 5266.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"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"
						}
					]
				}
			]
		},
		{
			"description": "I & D HEMATOMASEROMA FLUID",
			"code_information": [
				{
					"code": "10140",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4850.35,
					"discounted_cash": 2633,
					"minimum": 71.56,
					"maximum": 3880.28,
					"payers_information": [
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3139.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2309.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 71.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1237.95,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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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": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "Wellcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"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": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"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": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional 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": "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": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 3139.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"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": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2104.51,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2475.9,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2382.21,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"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",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2309.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3880.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 75.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 76.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2309.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1455.11,
							"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": 71.56,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 2475.9,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 75.14,
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2382.21,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 71.56,
							"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",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2406.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3301.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2430.83,
							"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 FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATION ABCSHEMABULLA",
			"code_information": [
				{
					"code": "10160",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 448,
					"discounted_cash": 647,
					"minimum": 67.29,
					"maximum": 1066.75,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 448,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 448,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 733.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 733.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 467.64,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 400.03,
							"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": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 733.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 275.08,
							"standard_charge_percentage": 30.0,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 733.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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 Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 228.48,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 70.65,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 134.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 448,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 358.4,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 448,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 800.06,
							"standard_charge_percentage": 60.0,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 67.29,
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 800.06,
							"standard_charge_percentage": 60.0,
							"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": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A 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 Commercial - Non-Contracted ",
							"standard_charge_dollar": 358.4,
							"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": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 448,
							"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",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 70.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 358.4,
							"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 Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": 70.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 680.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": 358.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 448,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "I&D POST OP WOUND",
			"code_information": [
				{
					"code": "10180",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9014,
					"discounted_cash": 4615,
					"minimum": 168.76,
					"maximum": 7211.2,
					"payers_information": [
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 4217.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7210.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 7211.2,
							"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 IPA",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 4175.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7210.96,
							"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": 7211.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7211.2,
							"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 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": 177.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4597.14,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 177.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"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"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 3550.25,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4596.99,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions 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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 4970.35,
							"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",
							"standard_charge_dollar": 180.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 4175.09,
							"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 Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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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": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 180.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 168.76,
							"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": "Brand New Day",
							"plan_name": "Brand New Day 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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2704.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7210.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 5502.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 4217.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 7210.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"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": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 5502.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7211.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HEADACHES WITH MCC",
			"code_information": [
				{
					"code": "102",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15605,
					"minimum": 10413.5,
					"maximum": 21751.9,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10413.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 13973.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 13685,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12244.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 13973.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 13807.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 14117.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13973.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17526.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 16878.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 15605.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12124.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 21751.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 13973.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19835.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 14405.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 14405.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 14405.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 14261.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 13685,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 18606.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 12004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 13973.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HEADACHES WITHOUT MCC",
			"code_information": [
				{
					"code": "103",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11515,
					"minimum": 8858.28,
					"maximum": 16051.2,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 11515.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10311,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10098.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16051.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10311,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10515.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 10311,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 6073,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12933.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 10629.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12454.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 10629.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 13730.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 10523.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 10417.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10311,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10311,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10125,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14544.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10098.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10629.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9035.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8946.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8858.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ASCRIPTIN TB",
			"code_information": [
				{
					"code": "10336",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6,
					"minimum": 1.8,
					"maximum": 4.8,
					"payers_information": [
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							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 4.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "104",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 33203.4,
					"maximum": 33203.4,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 33203.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "105",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6447.9,
					"maximum": 6447.9,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CEFOXITIN INJ 1.5GM",
			"code_information": [
				{
					"code": "10578",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 92,
					"minimum": 27.6,
					"maximum": 73.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 73.6,
							"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",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 73.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "106",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7737.02,
					"maximum": 7737.02,
					"payers_information": [
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							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "107",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6411.64,
					"maximum": 6411.64,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6411.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CYCLOPHOSPHAMIDE 50MG TAB",
			"code_information": [
				{
					"code": "10793",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 31,
					"minimum": 9.3,
					"maximum": 1926.4,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15.81,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 24.8,
							"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": 24.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 24.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "108",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11624.2,
					"maximum": 11624.2,
					"payers_information": [
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							"payer_name": "Tricare",
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							"standard_charge_dollar": 11624.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "109",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12949.6,
					"maximum": 12949.6,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12949.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEBRIDEMENT, INFECTED SKIN 10%",
			"code_information": [
				{
					"code": "11000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 530,
					"discounted_cash": 1020,
					"minimum": 28.3,
					"maximum": 530,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 424,
							"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": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 29.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 530,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 530,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 424,
							"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": 270.3,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 159,
							"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 Enhanced PPO",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 530,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 424,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 424,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 530,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DEBRIDE,INFECTED SKIN EA AD10%",
			"code_information": [
				{
					"code": "11001",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 348,
					"minimum": 14.95,
					"maximum": 278.4,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.4,
							"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": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"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": 15.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 177.48,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"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": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1101",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6263.63,
					"maximum": 6702.08,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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 IPA",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6702.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7086.37,
					"maximum": 7582.42,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7582.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7086.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1103",
					"type": "APR-DRG"
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			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10319.3,
					"maximum": 11041.6,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11041.6,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10319.3,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10319.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1104",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 17877.1,
					"maximum": 19128.5,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 19128.5,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 17877.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Dbrdmt subq tis 1st 20sqcm<",
			"code_information": [
				{
					"code": "11042",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1579,
					"discounted_cash": 647,
					"minimum": 109.06,
					"maximum": 1263.2,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 613.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 804.91,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"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": "Health Net Of CA",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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": "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",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"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": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 109.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 159.42,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"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": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.6,
							"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 Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": 219,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 159.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"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": 148.99,
							"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": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1263.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": 109.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 613.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 254.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 508.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 805.29,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 219,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 613.6,
							"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": "Brand New Day",
							"plan_name": "Brand New Day 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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 677.6,
							"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": "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": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1262.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 219,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 391.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 109.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 148.99,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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": "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 Commercial - Non-Contracted ",
							"standard_charge_dollar": 613.6,
							"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": "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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 508.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1263.2,
							"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": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 159.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 230.1,
							"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": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1263.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 508.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"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": 159.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DEBRIDEMENT, SUB-Q MUSCLE-P",
			"code_information": [
				{
					"code": "11043",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 767,
					"discounted_cash": 1020,
					"minimum": 224.83,
					"maximum": 9964.8,
					"payers_information": [
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1262.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 613.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 913.39,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"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",
							"standard_charge_dollar": 240.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 224.83,
							"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": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 391.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1263.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6352.56,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 932.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 613.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 894.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 922.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 913.39,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 767,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 236.07,
							"estimated_amount": 999999999,
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						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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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							"methodology": "fee schedule"
						},
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							"payer_name": "Managed Health Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
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							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Naphcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Wellcare",
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						},
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							"payer_name": "CORVEL",
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						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 9964.8,
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Keenan",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 932.22,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 922.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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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 Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"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 Commercial Ins Exchange",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1263.2,
							"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": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 236.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 941.64,
							"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": 613.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 913.39,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 941.64,
							"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": 1263.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1216.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 236.07,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 240.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 684,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 913.39,
							"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": "Tricare",
							"plan_name": "Tricare",
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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": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 767,
							"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": "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 Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 236.07,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 767,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 224.83,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3736.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 804.91,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 767,
							"estimated_amount": 684,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DEB BONE1ST 20SQCMORLESS",
			"code_information": [
				{
					"code": "11044",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3680.8,
					"discounted_cash": 2633,
					"minimum": 290.51,
					"maximum": 3139.82,
					"payers_information": [
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2944.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2002,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 310.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2944.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Managed Health 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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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"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": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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 FEDERAL SERVICES TRICARE ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A 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": "Traditional Medicare",
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							"estimated_amount": 1766,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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": 310.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 2382.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3139.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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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": "PROVIDER SELECT",
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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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						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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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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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net 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": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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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": "Worker comp",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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",
							"standard_charge_dollar": 2025.69,
							"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 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": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 1766,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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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": "Employer Direct Healthcare",
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							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2002,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Dbrdmt subq tiss each addl",
			"code_information": [
				{
					"code": "11045",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1578.25,
					"minimum": 14.6,
					"maximum": 1262.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 15.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 14.6,
							"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": 843.6,
							"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": 14.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14.6,
							"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": 1262.6,
							"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": 14.6,
							"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",
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							"payer_name": "Health Net Of CA",
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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": "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": "L.A Care Health Plan",
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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": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Of CA",
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							"methodology": "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"
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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		{
			"description": "Dbrdmt musc&fsca ea addl",
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				{
					"code": "11046",
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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": "Health Net Of CA",
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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": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "AIDS Healthcare Foundation",
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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": "Molina",
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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": "Anthem Blue cross",
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "L.A 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": "L.A 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": "Molina",
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							"estimated_amount": 999999999,
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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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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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					]
				}
			]
		},
		{
			"description": "Dbrdmt bone each addl",
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				{
					"code": "11047",
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				{
					"setting": "outpatient",
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					"maximum": 2622.6,
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "L.A Care Health Plan",
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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": "Anthem Blue cross",
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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": "Traditional Medi-Cal",
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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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina",
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						{
							"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": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted 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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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Health Net Of CA",
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						{
							"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 Promise",
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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",
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						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "L.A Care Health Plan",
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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": "Keenan",
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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": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "PARING OF BENIGN LESION-P",
			"code_information": [
				{
					"code": "11055",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"maximum": 387.7,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 191,
							"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": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 97.41,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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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": "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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							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 384.68,
							"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"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 152.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 191,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 144.25,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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-Mediconnect",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": 191,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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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": "THREE RIVERS",
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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": "USA Senior Care Network",
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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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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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": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 191,
							"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 Commercial Enhanced PPO",
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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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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 24.03,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 384.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 152.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 24.03,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": 25.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 152.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "PARING OF BENIGN LESION 2-4",
			"code_information": [
				{
					"code": "11056",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 345.85,
					"discounted_cash": 325,
					"minimum": 36.32,
					"maximum": 345.85,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 191,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 38.14,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 103.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 276.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 152.8,
							"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": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 191,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 345.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 152.8,
							"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": 36.32,
							"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 Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 152.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 191,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 345.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36.32,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 191,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 152.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 345.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 97.41,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 345.85,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 276.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 191,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 57.3,
							"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": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 176.38,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 38.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 345.85,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 276.68,
							"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": 191,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "PARING OF BENIGN LESION >4",
			"code_information": [
				{
					"code": "11057",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 846.5,
					"discounted_cash": 325,
					"minimum": 38.46,
					"maximum": 677.2,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": 212.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 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": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 38.46,
							"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, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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 Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 41.15,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 266,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 38.46,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 38.46,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 677.2,
							"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": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"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": 40.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 266,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 212.8,
							"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": 38.46,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 135.66,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 40.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 266,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 212.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "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 Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 266,
							"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 Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 266,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 266,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 79.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 41.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 212.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "111",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21546.4,
					"maximum": 21546.4,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 21546.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY, SINGLE LESION-P",
			"code_information": [
				{
					"code": "11100",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 846.5,
					"minimum": 104.4,
					"maximum": 677.2,
					"payers_information": [
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							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 177.48,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY SKIN,SQ,MM;@ADDTL LES",
			"code_information": [
				{
					"code": "11101",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 278,
					"minimum": 83.4,
					"maximum": 677.2,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 222.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 83.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 222.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 222.4,
							"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": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.95,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 677.2,
							"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": 222.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 141.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "PUNCH BX SKIN SNGL LESION",
			"code_information": [
				{
					"code": "11104",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1765,
					"discounted_cash": 647,
					"minimum": 112.06,
					"maximum": 1412,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1412,
							"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 Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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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"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 900.15,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 1412,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"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": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": 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 Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services 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 Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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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": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"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": "Tricare",
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							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Punch bx skin ea sepaddl",
			"code_information": [
				{
					"code": "11105",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 577,
					"minimum": 54.73,
					"maximum": 461.6,
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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							"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",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INCISIONAL BX SKIN SNGL LES",
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				{
					"code": "11106",
					"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": "USA Senior Care Network",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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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": 135.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1216.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 135.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 894.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2139.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
							"plan_name": "Alignment 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"
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "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": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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",
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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": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
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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",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 142.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1103.29,
							"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": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INCISIONAL BX SKN EA SEPADDL",
			"code_information": [
				{
					"code": "11107",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 503.2,
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							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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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 Medi-Cal IPA",
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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",
							"plan_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",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 503.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "L.A 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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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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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			"description": "VERTIGO & OTHER LABYRINTH DISORDERS ",
			"code_information": [
				{
					"code": "1111",
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					"setting": "inpatient",
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					"maximum": 5145.97,
					"payers_information": [
						{
							"payer_name": "Molina",
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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"
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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": "L.A 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": "Health Net Of CA",
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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": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "VERTIGO & OTHER LABYRINTH DISORDERS ",
			"code_information": [
				{
					"code": "1112",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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					"maximum": 5899.94,
					"payers_information": [
						{
							"payer_name": "L.A 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"
						},
						{
							"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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							"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": "AIDS Healthcare Foundation",
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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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
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			"description": "VERTIGO & OTHER LABYRINTH DISORDERS ",
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				{
					"code": "1113",
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					"setting": "inpatient",
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					"maximum": 7161.53,
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							"payer_name": "L.A 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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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 IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 6693.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7161.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "VERTIGO & OTHER LABYRINTH DISORDERS ",
			"code_information": [
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					"code": "1114",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 14861.8,
					"payers_information": [
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							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": 13889.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14861.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13889.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13889.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "112",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 4104.81,
					"payers_information": [
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXCISION OF SKIN TAGS",
			"code_information": [
				{
					"code": "11200",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 348,
					"discounted_cash": 325,
					"minimum": 45.4,
					"maximum": 348,
					"payers_information": [
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							"payer_name": "CORVEL",
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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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 177.48,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 47.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 48.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45.4,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"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": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ORBITAL PROCEDURES WITH CCMCC",
			"code_information": [
				{
					"code": "113",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 30112,
					"minimum": 22860.1,
					"maximum": 41972.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 41972.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 38604.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 23163.6,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 26962.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 23395.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 27518.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 27796.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 26640.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 27796.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 35903.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 22860.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 30112.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 27796.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 26962.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 26962.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 23626.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 26406.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 26962.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 33818.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 26406.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 26962.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 27240.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 32568.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 23163.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
				{
					"code": "1131",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 2846.56,
					"maximum": 3045.82,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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",
							"standard_charge_dollar": 2846.56,
							"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 Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
				{
					"code": "1132",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 4144.73,
					"maximum": 4434.86,
					"payers_information": [
						{
							"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": "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": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
				{
					"code": "1133",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 6224.6,
					"maximum": 6660.32,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"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"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
				{
					"code": "1134",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 12328.1,
					"maximum": 13191.1,
					"payers_information": [
						{
							"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"
						},
						{
							"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": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
		},
		{
			"description": "HCTZ 25MG W RESER TB",
			"code_information": [
				{
					"code": "11340",
					"type": "CDM"
				}
			],
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				{
					"setting": "outpatient",
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					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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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,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3.57,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "ORBITAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "114",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15904,
					"minimum": 12234.2,
					"maximum": 22168.4,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 17862,
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 14077.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 12234.2,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 12234.2,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 12356.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 18963.1,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 17920.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"standard_charge_dollar": 13947,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 17201.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 14534.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 20222.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 13947,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12478.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 22168.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 14681.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12234.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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							"standard_charge_dollar": 14240.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 15904.5,
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						}
					]
				}
			]
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			"description": "Exc tr-ext b9+marg 2.1-3cm",
			"code_information": [
				{
					"code": "11403",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 21816,
					"discounted_cash": 1142,
					"minimum": 116.42,
					"maximum": 17452.8,
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							"payer_name": "PRIME HEALTH SERVICES",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "L.A Care Health Plan",
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						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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						{
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							"estimated_amount": 999999999,
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							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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": "Health Net Of CA",
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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": "Anthem Blue cross",
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							"methodology": "fee schedule"
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"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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						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						{
							"payer_name": "ZELIS HEALTHCARE",
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							"payer_name": "Naphcare",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"payer_name": "PROVIDER SELECT",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina",
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							"payer_name": "Managed Health Network",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "fee schedule"
						}
					]
				}
			]
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		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1141",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
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						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
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			"description": "DENTAL DISEASES AND DISORDERS ",
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				{
					"code": "1142",
					"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"
						},
						{
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 4755.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1143",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 7002.3,
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7492.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7002.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7002.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 7002.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7002.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1144",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13537.2,
					"maximum": 14484.8,
					"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 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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"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",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRAOCULAR PROCEDURES EXCEPT ORBIT",
			"code_information": [
				{
					"code": "115",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20518,
					"minimum": 15783.1,
					"maximum": 28599,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 20518.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20313.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 18939.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 18750.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 18371.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 18371.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 18939.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 18561,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 22191.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 26191.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16098.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 24463.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 28599,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 18371.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 18231.5,
							"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": "L.A Care Health Plan",
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							"standard_charge_dollar": 15783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 15783.1,
							"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 Ins Exchange",
							"standard_charge_dollar": 23043.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 15941,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 17992.8,
							"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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					"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": "L.A 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": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1152",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 5888.16,
					"payers_information": [
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5888.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1153",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 9141.74,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1154",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15173.6,
					"maximum": 16235.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16235.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRAOCULAR PROCEDURES WITH CCMCC",
			"code_information": [
				{
					"code": "116",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 22337,
					"minimum": 17182.7,
					"maximum": 31135.1,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 20000.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 25086.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 23772.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 20619.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 20619.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 20000.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 20206.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 19588.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 24158.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 20619.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 17354.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 20000.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 17526.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 19588.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 28545.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 20000.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 20413.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 31135.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 20000.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 22337.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 17182.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 26633.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Exc tr-ext mal+marg >4 cm",
			"code_information": [
				{
					"code": "11606",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12456,
					"discounted_cash": 2633,
					"minimum": 325.75,
					"maximum": 9964.8,
					"payers_information": [
						{
							"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 Commercial Enhanced PPO",
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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": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 3139.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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 Commercial",
							"standard_charge_dollar": 6352.56,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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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": 342.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 348.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2309.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 2406.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2382.21,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2430.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2357.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"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"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Exc snhfg mal+mrg 3.1-4",
			"code_information": [
				{
					"code": "11624",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 18696,
					"discounted_cash": 2633,
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					"maximum": 14956.8,
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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": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 14956.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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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							"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": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"payer_name": "Managed Health Network",
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						{
							"payer_name": "Anthem Blue cross",
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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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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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 300.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3139.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INTRAOCULAR PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "117",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 14535,
					"minimum": 11181.5,
					"maximum": 20260.8,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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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": 18451.9,
							"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": "Brand New Day",
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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": "L.A 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": 20260.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 11293.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 12746.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 13417.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 13417.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 13015.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 13283.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12746.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 13149.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 13015.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14535.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 13015.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13015.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 13417.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11405.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 17331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 13015.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11181.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRIMMG OF NONDYSTROP NAILS-ANY",
			"code_information": [
				{
					"code": "11719",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 349.35,
					"discounted_cash": 99,
					"minimum": 76.42,
					"maximum": 279.48,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 178.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 106.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 107.45,
							"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": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 89.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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 Cal-Mediconnect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 114.63,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 87.12,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 118.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 90.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.81,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 91.7,
							"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": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "DEBRIDEMENT OF NAILS 1-5 -P",
			"code_information": [
				{
					"code": "11720",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 158,
					"discounted_cash": 99,
					"minimum": 28.3,
					"maximum": 279.48,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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 Medicare",
							"standard_charge_dollar": 77.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 88.95,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 107.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 91.7,
							"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": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 91.7,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 76.42,
							"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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 106.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 178.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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 MSSP",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 107.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 118.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 118.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 90.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 90.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 47.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 89.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 91.7,
							"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": "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": "Molina",
							"plan_name": "Molina 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 Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 80.58,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 91.7,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 29.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 76.42,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 29.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.81,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 89.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 106.99,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"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": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"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": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DEBRIDEMENT NAILS, 6 OR MORE",
			"code_information": [
				{
					"code": "11721",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 349.35,
					"discounted_cash": 99,
					"minimum": 47.4,
					"maximum": 279.48,
					"payers_information": [
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 90.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 106.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 178.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 80.58,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 77.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 91.7,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 89.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 47.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 91.7,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 50.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 87.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 126.4,
							"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": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 89.87,
							"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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 118.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 49.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 107.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 87.12,
							"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": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 88.95,
							"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",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 50.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 107.45,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 88.95,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 106.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 77.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 90.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 76.42,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 118.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 49.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 88.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 91.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.81,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "AVULSION NAIL PLATE,SGLSIMPLE",
			"code_information": [
				{
					"code": "11730",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 882.25,
					"discounted_cash": 325,
					"minimum": 45.93,
					"maximum": 705.8,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 279.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45.93,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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 Enhanced PPO",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 264.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 48.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 MSSP",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 177.48,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49.15,
							"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, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 178.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 349.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 529.35,
							"standard_charge_percentage": 60.0,
							"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": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 48.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 279.48,
							"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": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
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						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"payer_name": "L.A Care Health Plan",
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							"payer_name": "Non contracted Medicare",
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							"payer_name": "Molina",
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							"payer_name": "MULTIPLAN",
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						},
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
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							"payer_name": "Employer Direct Healthcare",
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						},
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						},
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							"payer_name": "THREE RIVERS",
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						},
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						},
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							"payer_name": "Anthem Blue cross",
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						},
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						},
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							"payer_name": "PRIME HEALTH SERVICES",
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						},
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							"payer_name": "USA Senior Care Network",
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						},
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						},
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							"payer_name": "Blue Shield Of Promise",
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						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
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						},
						{
							"payer_name": "PROVIDER SELECT",
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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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Imperial Health Plan",
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						},
						{
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						},
						{
							"payer_name": "CORVEL",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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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": "Naphcare",
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						},
						{
							"payer_name": "Managed Health Network",
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						},
						{
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							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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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"
						},
						{
							"payer_name": "Molina",
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						},
						{
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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						{
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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": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
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						{
							"payer_name": "Health Net Of CA",
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						{
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
						{
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						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						}
					]
				}
			]
		},
		{
			"description": "Remove nail plate add-on",
			"code_information": [
				{
					"code": "11732",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 180,
					"minimum": 21.36,
					"maximum": 677.2,
					"payers_information": [
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.95,
							"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": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 21.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 21.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 22.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 22.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 91.8,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 222.4,
							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Aetna",
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							"payer_name": "L.A Care Health Plan",
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							"payer_name": "L.A 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": "Blue Shield Of Promise",
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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": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Managed Health Network",
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							"methodology": "percent of total billed charges"
						},
						{
							"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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							"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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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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						{
							"payer_name": "Aetna",
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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 Promise",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Managed Health Network",
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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",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": "AIDS Healthcare Foundation",
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						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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							"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": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EVAC SUBUNGUAL HEMATOMA",
			"code_information": [
				{
					"code": "11740",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"minimum": 28.1,
					"maximum": 425.92,
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							"payer_name": "PRIME HEALTH SERVICES",
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Molina",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"methodology": "fee schedule"
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							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
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						{
							"payer_name": "L.A 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": "Managed Health Network",
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							"methodology": "percent of total billed charges"
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							"payer_name": "USA Senior Care Network",
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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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Of CA",
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							"payer_name": "Traditional Medicare",
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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": "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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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"payer_name": "Alignment",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "THREE RIVERS",
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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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							"methodology": "fee schedule"
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							"payer_name": "Managed Health Network",
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							"methodology": "percent of total billed charges"
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							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "fee schedule"
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							"payer_name": "CORVEL",
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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": "Brand New Day",
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							"methodology": "fee schedule"
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						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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": "Managed Health Network",
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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": "HEALTH NET FEDERAL SERVICES TRICARE ",
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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": "Wellcare",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"standard_charge_dollar": 159.6,
							"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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 181.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 185.77,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 185.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 191.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 29.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 271.52,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 191.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 162.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 223.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 126.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": 425.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 189.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 247.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 185.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 191.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 425.92,
							"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": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 158,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXCISION NAIL & MATRIX",
			"code_information": [
				{
					"code": "11750",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1371,
					"discounted_cash": 647,
					"minimum": 121.22,
					"maximum": 1096.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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": 1096.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 411.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 841.6,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 127.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": 699.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1096.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 127.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day 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": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1096.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 129.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1096.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 536.52,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 315.6,
							"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": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 841.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 841.6,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 841.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 129.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"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": "REPAIR NAIL BED",
			"code_information": [
				{
					"code": "11760",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 670,
					"discounted_cash": 1020,
					"minimum": 144.19,
					"maximum": 670,
					"payers_information": [
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 536,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 341.7,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 201,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 670,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 154.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
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							"standard_charge_percentage": 60.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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 Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 536,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 670,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 536,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 151.4,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 402,
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Excision of nail fold toe",
			"code_information": [
				{
					"code": "11765",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 535,
					"discounted_cash": 647,
					"minimum": 75.84,
					"maximum": 1066.75,
					"payers_information": [
						{
							"payer_name": "L.A 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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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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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": "Anthem Blue cross",
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							"standard_charge_dollar": 428,
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
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						{
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						{
							"payer_name": "Managed Health Network",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medicare",
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						{
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							"methodology": "percent of total billed charges"
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						{
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						{
							"payer_name": "Aetna",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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						{
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							"methodology": "fee schedule"
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						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 680.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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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",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 609.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 79.63,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A 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 IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc 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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 228.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 609.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 535,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 400.03,
							"standard_charge_percentage": 30.0,
							"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": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 160.5,
							"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": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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 Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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 Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions 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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 535,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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 Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 272.85,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1066.75,
							"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-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 79.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 800.06,
							"standard_charge_percentage": 60.0,
							"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": 388.62,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 75.84,
							"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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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 Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 81.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1066.75,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 762,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 535,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 535,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 535,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 428,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions 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": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "118",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 7735.85,
					"maximum": 7735.85,
					"payers_information": [
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							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "119",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7347.48,
					"maximum": 7347.48,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INSERTION OF TISSUE EXPANDER",
			"code_information": [
				{
					"code": "11960",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 10385.6,
					"discounted_cash": 5827,
					"minimum": 520.14,
					"maximum": 8308.51,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 5296.68,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 546.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 556.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 520.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 6302.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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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": "Aetna",
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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"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare 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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 6723.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 6544.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 6947.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 520.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 6275.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 5325.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4527.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 520.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 8308.51,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 5110.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 5271.42,
							"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": 8308.51,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 5110.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "REMOVAL OF TISSUE EXPANDER",
			"code_information": [
				{
					"code": "11971",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7978.44,
					"discounted_cash": 4615,
					"minimum": 236.04,
					"maximum": 6382.75,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 247.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 4970.35,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 236.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 252.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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",
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6382.75,
							"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": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
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							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Wellcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": 3585.75,
							"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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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 236.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 4069,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 5502.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 236.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"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": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 4175.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 5325.38,
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
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				{
					"code": "120",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8039.99,
					"maximum": 8039.99,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1201",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 17395.7,
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						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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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",
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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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		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1202",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 21114,
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						{
							"payer_name": "Anthem Blue cross",
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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": "Health Net Of CA",
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							"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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							"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": "L.A 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": 21114,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1203",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 27707.9,
					"maximum": 29647.5,
					"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",
							"standard_charge_dollar": 27707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 27707.9,
							"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"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 27707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"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": 29647.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 27707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1204",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 49323.3,
					"maximum": 52776,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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": 49323.3,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 52776,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MAJOR EYE INFECTIONS WITH CCMCC",
			"code_information": [
				{
					"code": "121",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15654,
					"minimum": 6292.32,
					"maximum": 21820.1,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 14450.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 16931,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 15654.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14016.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 14016.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 14450.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6292.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17581.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 14016.9,
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							"methodology": "case rate"
						},
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							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 13727.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19899.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 21820.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12162.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 14450.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 18665.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 12042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 13727.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1211",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 11679.5,
					"maximum": 12497.1,
					"payers_information": [
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1212",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 15121.6,
					"maximum": 16180.1,
					"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": "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": "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"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1213",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 23124.8,
					"maximum": 24743.5,
					"payers_information": [
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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": "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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 23124.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1214",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 39533.6,
					"maximum": 42300.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal 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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "122",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 9242,
					"minimum": 4652.27,
					"maximum": 12882.9,
					"payers_information": [
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 8105.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7251.99,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8531.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 8531.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8105.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8275.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 11020.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 8446.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7180.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11603.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 9242.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8275.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 8275.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 8077.87,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4652.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 8275.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12882.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 8361.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 9996.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 8531.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 8275.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7109.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NEUROLOGICAL EYE DISORDERS",
			"code_information": [
				{
					"code": "123",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10894,
					"minimum": 8380.22,
					"maximum": 15185,
					"payers_information": [
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9754.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11782.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9565.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 10056.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15185,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12989.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9855.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9959.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 10056.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 10894.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8547.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9754.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13740.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9754.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12235.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9754.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8464.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9754.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9955.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9553.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10056.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9553.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8380.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT",
			"code_information": [
				{
					"code": "124",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17515,
					"minimum": 13473.2,
					"maximum": 24413.3,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16006.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 18943.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 17515.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15682.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 13742.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 22306.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15682.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 15682.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13607.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15359.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17164.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 19670.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 15682.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 15844.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 20883.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 15682.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15359.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24413.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 15527,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13473.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF THE EYE WITHOUT MCC",
			"code_information": [
				{
					"code": "125",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 11191,
					"minimum": 8181.54,
					"maximum": 15599.7,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10330.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14125.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8181.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9833.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 11191.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8781.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15599.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 13344.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9814.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 10330.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12569.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8609.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 10124.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10021,
							"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": "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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							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8695.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 10227.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIT D 50000 UNIT CP",
			"code_information": [
				{
					"code": "12721",
					"type": "CDM"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 6,
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					"maximum": 4.8,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 4.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1.8,
							"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": 4.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1301",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 28047.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 26212.6,
							"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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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",
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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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 26212.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 26212.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1302",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 29647.7,
					"maximum": 31723,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 29647.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 31723,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 29647.7,
							"estimated_amount": 26795,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29647.7,
							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 29647.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1303",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 35190.6,
					"maximum": 37654,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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",
							"standard_charge_dollar": 37654,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 32800,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"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": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1304",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 46004.4,
					"maximum": 49224.7,
					"payers_information": [
						{
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 49224.7,
							"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": "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": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9669.69,
					"maximum": 10346.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10346.6,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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 IPA",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1312",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12686.4,
					"maximum": 13574.5,
					"payers_information": [
						{
							"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"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13574.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 12686.4,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1313",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17191.5,
					"maximum": 18394.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18394.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1314",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22318.1,
					"maximum": 23880.3,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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": "Molina",
							"plan_name": "Molina 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",
							"standard_charge_dollar": 23880.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SUTURING OF COMPLICATED WOUND",
			"code_information": [
				{
					"code": "13160",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6299.92,
					"discounted_cash": 2962,
					"minimum": 786.62,
					"maximum": 14124.8,
					"payers_information": [
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 841.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 14124.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"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": "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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2324.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 786.62,
							"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": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": 825.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": 825.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 1889.98,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"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": "ZELIS HEALTHCARE",
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							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A 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": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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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": "Imperial Health Plan",
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							"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 Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3212.96,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 786.62,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 5039.94,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 841.68,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": 786.62,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5039.94,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"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": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"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": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 14124.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
			"code_information": [
				{
					"code": "1321",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3083.77,
					"maximum": 3299.63,
					"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",
							"standard_charge_dollar": 3299.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
			"code_information": [
				{
					"code": "1322",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4170.75,
					"maximum": 4462.7,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4462.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4170.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
			"code_information": [
				{
					"code": "1323",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7767.98,
					"maximum": 8311.74,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7767.98,
							"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": "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",
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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": 8311.74,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
			"code_information": [
				{
					"code": "1324",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11678.5,
					"maximum": 12496,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 12496,
							"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 IPA",
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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": 11678.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11678.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11678.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY FAILURE ",
			"code_information": [
				{
					"code": "1331",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 3275.95,
					"maximum": 3505.27,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3275.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 3275.95,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "L.A 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": "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": 3275.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY FAILURE ",
			"code_information": [
				{
					"code": "1332",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 6633.54,
					"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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"
						},
						{
							"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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY FAILURE ",
			"code_information": [
				{
					"code": "1333",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 9988.87,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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": 9988.87,
							"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",
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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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY FAILURE ",
			"code_information": [
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					"code": "1334",
					"type": "APR-DRG"
				}
			],
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					"maximum": 16522.8,
					"payers_information": [
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"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": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EMBOLISM ",
			"code_information": [
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					"code": "1341",
					"type": "APR-DRG"
				}
			],
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					"maximum": 5323.75,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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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 Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "PULMONARY EMBOLISM ",
			"code_information": [
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					"code": "1342",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 6351.71,
					"maximum": 6796.33,
					"payers_information": [
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							"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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "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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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EMBOLISM ",
			"code_information": [
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					"code": "1343",
					"type": "APR-DRG"
				}
			],
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					"maximum": 10060.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10060.6,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9402.45,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9402.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9402.45,
							"estimated_amount": 999999999,
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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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							"payer_name": "Molina",
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "PULMONARY EMBOLISM ",
			"code_information": [
				{
					"code": "1344",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 15549,
					"maximum": 16637.4,
					"payers_information": [
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							"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": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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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": "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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "SINUS AND MASTOID PROCEDURES WITH CCMCC",
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				{
					"code": "135",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 32155,
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					"maximum": 44820.1,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
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							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 24735.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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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": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 29088.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 24735.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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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": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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 Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST & RESPIRATORY TRAUMA ",
			"code_information": [
				{
					"code": "1351",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "L.A Care Health Plan",
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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"
						},
						{
							"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"
						},
						{
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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",
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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"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST & RESPIRATORY TRAUMA ",
			"code_information": [
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					"code": "1352",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 7483.89,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST & RESPIRATORY TRAUMA ",
			"code_information": [
				{
					"code": "1353",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 10141.1,
					"maximum": 10851,
					"payers_information": [
						{
							"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"
						},
						{
							"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"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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",
							"standard_charge_dollar": 10141.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10851,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST & RESPIRATORY TRAUMA ",
			"code_information": [
				{
					"code": "1354",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 17714.9,
					"maximum": 18955,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17714.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18955,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care 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": "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": "Anthem Blue cross",
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						},
						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
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			"description": "SINUS AND MASTOID PROCEDURES WITHOUT CCMCC",
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				{
					"code": "136",
					"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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							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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"
						},
						{
							"payer_name": "Naphcare",
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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": "Managed Health Network",
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						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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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": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"standard_charge_dollar": 11826.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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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": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Aetna",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY MALIGNANCY ",
			"code_information": [
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					"code": "1361",
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				}
			],
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					"setting": "inpatient",
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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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"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY MALIGNANCY ",
			"code_information": [
				{
					"code": "1362",
					"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"
						},
						{
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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"
						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY MALIGNANCY ",
			"code_information": [
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					"code": "1363",
					"type": "APR-DRG"
				}
			],
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					"maximum": 11177.6,
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11177.6,
							"estimated_amount": 999999999,
							"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": 16678.1,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16678.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MOUTH PROCEDURES WITH CCMCC",
			"code_information": [
				{
					"code": "137",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18767,
					"minimum": 14436.4,
					"maximum": 26158.7,
					"payers_information": [
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 23926.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 14436.4,
							"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": 21077.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 16457.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 16457.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 20297.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 16804,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 26158.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 17323.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 16654.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16977.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 17150.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 17323.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 16804,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14725.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 16804,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 22376.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 17323.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 18767.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14580.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 14436.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 16804,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 15648.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16804,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS ",
			"code_information": [
				{
					"code": "1371",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5281.75,
					"maximum": 5651.47,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5281.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5281.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5281.75,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5281.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5281.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5651.47,
							"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": "Anthem Blue cross",
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							"standard_charge_dollar": 5281.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS ",
			"code_information": [
				{
					"code": "1372",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 6727.05,
					"maximum": 7197.94,
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						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 6727.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 6727.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6727.05,
							"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": 7197.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6727.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "H1N1(INFLUENZA A)VACCINE ADMIN",
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				{
					"code": "13725",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 125,
					"minimum": 37.5,
					"maximum": 100,
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": 100,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 100,
							"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": 63.75,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 100,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS ",
			"code_information": [
				{
					"code": "1373",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8076.26,
					"maximum": 8641.6,
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						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8641.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8076.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS ",
			"code_information": [
				{
					"code": "1374",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15049.5,
					"maximum": 16103,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16103,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15049.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MOUTH PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "138",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11030,
					"minimum": 8484.99,
					"maximum": 15374.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8484.99,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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						},
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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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": "Renal Payer Solutions",
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						},
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
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							"payer_name": "THREE RIVERS",
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						},
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							"payer_name": "Naphcare",
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						},
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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			]
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			"description": "BRONCHIOLITIS & RSV PNEUMONIA ",
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					"code": "1381",
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				}
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						},
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						{
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					]
				}
			]
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			"description": "SALIVARY GLAND PROCEDURES",
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					"code": "139",
					"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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						},
						{
							"payer_name": "Astiva Health Inc",
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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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							"plan_name": "Health Net Of CA Commercial",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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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": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 16500.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 14176,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 16841.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PNEUMONIA ",
			"code_information": [
				{
					"code": "1391",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 4247.44,
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"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",
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							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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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": "L.A Care Health Plan",
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						}
					]
				}
			]
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			"description": "OTHER PNEUMONIA ",
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				{
					"code": "1392",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						},
						{
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						},
						{
							"payer_name": "Anthem Blue cross",
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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": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
		},
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			"description": "OTHER PNEUMONIA ",
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				{
					"code": "1393",
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				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
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						},
						{
							"payer_name": "L.A Care Health Plan",
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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"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PNEUMONIA ",
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					"code": "1394",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 13332,
					"maximum": 14265.2,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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",
							"standard_charge_dollar": 13332,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 13332,
							"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": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR HEAD AND NECK PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "140",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 56196,
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					"maximum": 78329.4,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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": 63113.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 43228.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 50317.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 56196.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 51873.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 50363.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 78329.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 51355,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 43228.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 43228.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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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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							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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						},
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							"payer_name": "Tricare",
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						},
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted 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": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1401",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 4939.28,
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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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							"payer_name": "Anthem Blue cross",
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						},
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						},
						{
							"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"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						}
					]
				}
			]
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		{
			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1402",
					"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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						},
						{
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						},
						{
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						},
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						}
					]
				}
			]
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			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
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					"code": "1403",
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				}
			],
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						},
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						},
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						},
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						},
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
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			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE ",
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					"code": "1404",
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				}
			],
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					"setting": "inpatient",
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
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						},
						{
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						},
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						}
					]
				}
			]
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			"description": "ADJ TISSUE TRSF,10SQCMLESS",
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				{
					"code": "14040",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
					"gross_charge": 4894,
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						},
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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						},
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						},
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							"methodology": "fee schedule"
						},
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
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						{
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							"methodology": "fee schedule"
						},
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						},
						{
							"payer_name": "THREE RIVERS",
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						},
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							"methodology": "percent of total billed charges"
						},
						{
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						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"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": "Brand New Day",
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							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2936.4,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 508.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3915.2,
							"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": 3915.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 2734.19,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2495.94,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3915.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"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": "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 Medi-Cal",
							"standard_charge_dollar": 517.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ADJ TISSUE TRSF,10.1-30SQ CM",
			"code_information": [
				{
					"code": "14041",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6597,
					"discounted_cash": 2962,
					"minimum": 605.06,
					"maximum": 5277.6,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "CORVEL",
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							"standard_charge_dollar": 2597.48,
							"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",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 3958.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 635.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 3958.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5277.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 605.06,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1979.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 5277.6,
							"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": 2324.06,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 605.06,
							"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": 5277.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"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 Medi-Cal IPA",
							"standard_charge_dollar": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 647.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3364.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ADJ TISSUE TRSF, 10SQCMLESS",
			"code_information": [
				{
					"code": "14060",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6597,
					"discounted_cash": 2962,
					"minimum": 605.06,
					"maximum": 5277.6,
					"payers_information": [
						{
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 605.06,
							"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": "Brand New Day",
							"plan_name": "Brand New Day 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": "Health Net Of CA",
							"plan_name": "Health Net Of 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",
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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 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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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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": 635.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 647.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"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": 3364.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ADJ TISSUE TRSF,10.1-30SQ CM",
			"code_information": [
				{
					"code": "14061",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4894,
					"discounted_cash": 2962,
					"minimum": 1062.72,
					"maximum": 3915.2,
					"payers_information": [
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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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							"methodology": "fee schedule"
						},
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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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": 3915.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": 1062.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2936.4,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 2734.19,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 1062.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 2936.4,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 1062.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 1137.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 3915.2,
							"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 Medicare",
							"standard_charge_dollar": 2324.06,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 1062.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1468.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 1062.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 1115.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2495.94,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR HEAD AND NECK PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "141",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28683,
					"minimum": 4814.87,
					"maximum": 39980.1,
					"payers_information": [
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							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 25682.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 25682.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 32213.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 25682.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 39980.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 36755,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 22505.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22284.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 28683.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 22064.1,
							"estimated_amount": 20301,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 26476.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 26212.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 25153.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 25584.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 25682.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 25947.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 26476.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 34199.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 26476.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 31022.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 22064.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA ",
			"code_information": [
				{
					"code": "1411",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 3378.04,
					"maximum": 3614.5,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA ",
			"code_information": [
				{
					"code": "1412",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 4947.45,
					"maximum": 5293.77,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5293.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA ",
			"code_information": [
				{
					"code": "1413",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 5869.28,
					"maximum": 6280.13,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6280.13,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5869.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA ",
			"code_information": [
				{
					"code": "1414",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11457.3,
					"maximum": 12259.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11457.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11457.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11457.3,
							"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",
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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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR HEAD AND NECK PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "142",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21065,
					"minimum": 16204.2,
					"maximum": 29718.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "PROVIDER SELECT",
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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": "Worker comp",
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							"standard_charge_dollar": 26899.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 18861.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 18472.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 22783.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 19445.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 18724.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19445.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 21065.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18472.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19056.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 29362,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16366.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16528.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 18861.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 16204.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 25116.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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"
						}
					]
				}
			]
		},
		{
			"description": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
			"code_information": [
				{
					"code": "1421",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"payers_information": [
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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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							"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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							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
			"code_information": [
				{
					"code": "1422",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6273.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6273.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": 6273.64,
							"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": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
			"code_information": [
				{
					"code": "1423",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9114.2,
					"maximum": 9752.19,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9752.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9114.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTERSTITIAL & ALVEOLAR LUNG DISEASES ",
			"code_information": [
				{
					"code": "1424",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15653.1,
					"maximum": 16748.8,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16748.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "143",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 43934,
					"minimum": 16056.6,
					"maximum": 61238.4,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 61238.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 39338.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 52383.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 47517.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 38527.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 43934.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 40555.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 49342.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 34134,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 34471.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 39744.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 40149.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 56486.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 39319.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 38527.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 40555.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 39338.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 40555.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 39338.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 39338.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 16056.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 33796,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 39338.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 33796,
							"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": [
				{
					"setting": "inpatient",
					"minimum": 4413.97,
					"maximum": 4722.95,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4722.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4413.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4413.97,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 6599.28,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6167.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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": 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": "Molina",
							"plan_name": "Molina 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6167.55,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6599.28,
							"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": 9765.04,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"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": 9126.21,
							"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"
						},
						{
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9765.04,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 15670.3,
					"payers_information": [
						{
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15670.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14645.2,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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"
						}
					]
				}
			]
		},
		{
			"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": 23502,
					"minimum": 12861.9,
					"maximum": 32758.9,
					"payers_information": [
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 21043.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18078.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 18078.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 21694.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 21260.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 18078.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 25418.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 23502.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 20609.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 18078.8,
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						},
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							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
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							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
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							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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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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							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
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							"payer_name": "Molina",
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							"methodology": "case rate"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
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							"payer_name": "Wellcare",
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20919.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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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": "Worker comp",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1441",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						},
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							"payer_name": "Molina",
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						},
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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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						},
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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": "Health Net Of CA",
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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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							"payer_name": "L.A 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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						},
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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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			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
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							"methodology": "case rate"
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						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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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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		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
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					"code": "1444",
					"type": "APR-DRG"
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					"payers_information": [
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							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"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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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
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		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC",
			"code_information": [
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					"code": "145",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"maximum": 22218.2,
					"payers_information": [
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							"methodology": "case rate"
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						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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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": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12261.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 12261.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 14272.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 12506.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12261.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 22218.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 20268.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 14714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
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						},
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							"payer_name": "Renal Payer Solutions",
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						},
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						},
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						},
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							"payer_name": "Alignment",
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						},
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						},
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						},
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						},
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							"payer_name": "USA Senior Care Network",
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						},
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						},
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						},
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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": "ACUTE BRONCHITIS AND RELATED SYMPTOMS ",
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					"code": "1451",
					"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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						},
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						}
					]
				}
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					"code": "1452",
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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": "1453",
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			],
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						},
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						},
						{
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						},
						{
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						},
						{
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			],
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						},
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						},
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						},
						{
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
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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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							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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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"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 34375.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 23545.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 23545.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 27406.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 42663.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 27406.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 33104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 23545.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 23545.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 23545.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 23545.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 23545.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 26841.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",
			"code_information": [
				{
					"code": "147",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 16733,
					"minimum": 12872,
					"maximum": 23324,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 23324,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 18793.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 15446.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 14983,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13000.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 21295.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 14674.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 15446.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 14983,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 16046.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 19951.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 16733.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 14983,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 18098,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14983,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 14674.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 14983,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 14823.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 15446.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 15137.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 15291.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 13129.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "148",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10861,
					"minimum": 8354.79,
					"maximum": 15138.9,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9724.98,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9088.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9524.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8521.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10025.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8438.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9825.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9925.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9524.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12949.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15138.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13697.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9724.98,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9724.98,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 10025.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12198,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8354.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11746.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 10861.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11552.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9724.98,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9724.98,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DYSEQUILIBRIUM",
			"code_information": [
				{
					"code": "149",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10157,
					"minimum": 7813.66,
					"maximum": 14158.4,
					"payers_information": [
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							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12111.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8907.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 10986,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9885.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7813.66,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9095.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9095.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 8007,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7891.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 8907.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9282.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14158.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9188.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 8901.98,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 9376.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 10157.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7813.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7813.66,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7969.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9095.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9095.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11407.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OBSERVATION ICU ROOM CHARGE",
			"code_information": [
				{
					"code": "15",
					"type": "CDM"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 302.4,
					"payers_information": [
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							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 183.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 183.68,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EPISTAXIS WITH MCC",
			"code_information": [
				{
					"code": "150",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 18550,
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					"maximum": 25856.5,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 17123.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 16609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional 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": 14555,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 16609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16781,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20833.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 20063,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 17123.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17068.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 16459.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 16609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 23645.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 18550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 16267.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16952.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 16267.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 22117.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 16609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 14269.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 25856.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PREP WND TRKARLG 100CM",
			"code_information": [
				{
					"code": "15002",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2351.3,
					"discounted_cash": 2962,
					"minimum": 270.16,
					"maximum": 2351.3,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 270.16,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 289.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1881.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1881.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1199.16,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc 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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 283.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1881.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1881.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 705.39,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2351.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Wound prep addl 100 cm",
			"code_information": [
				{
					"code": "15003",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2351.3,
					"minimum": 59.94,
					"maximum": 1881.04,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1881.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 62.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 64.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1881.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1881.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1199.16,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "PREP WOUND FNHFG 100CM",
			"code_information": [
				{
					"code": "15004",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2351.3,
					"discounted_cash": 1020,
					"minimum": 325.13,
					"maximum": 1881.04,
					"payers_information": [
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 941.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1216.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 932.22,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 913.39,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 913.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 894.56,
							"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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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 Commercial Enhanced PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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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"
						},
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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 IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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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 FEDERAL SERVICES TRICARE ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"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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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A 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": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1881.04,
							"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",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Non contracted Medicare",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Wnd prep fnhfg addl cm",
			"code_information": [
				{
					"code": "15005",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 2351.3,
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					"maximum": 1881.04,
					"payers_information": [
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
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							"payer_name": "Keenan",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Aetna",
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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": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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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						}
					]
				}
			]
		},
		{
			"description": "EPISTAXIS WITHOUT MCC",
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				{
					"code": "151",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 10296,
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					"maximum": 14898.5,
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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": "Worker comp",
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							"standard_charge_dollar": 12967.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9029.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 7920.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
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						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 9219.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 14351.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 7920.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 14898.5,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7920.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9029.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7920.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9314.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11136.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7920.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8078.87,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7999.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9219.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7920.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 7920.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 9504.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9219.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12276.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 9504.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9409.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11563.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9219.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPL THKAUTHGR TRARLG1ST100SQ",
			"code_information": [
				{
					"code": "15100",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12982,
					"discounted_cash": 2962,
					"minimum": 380.76,
					"maximum": 10385.6,
					"payers_information": [
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 380.76,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 399.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 10385.6,
							"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": 380.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 380.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10385.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 380.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10385.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3417.73,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 407.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 380.76,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 380.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10385.6,
							"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-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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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": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3894.61,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EPIDRM AUTOGRAFT TNKARMLG",
			"code_information": [
				{
					"code": "15110",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12982,
					"discounted_cash": 2962,
					"minimum": 666.42,
					"maximum": 10385.6,
					"payers_information": [
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
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							"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": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"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": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 666.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3894.61,
							"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": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 10385.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"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 FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 713.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 666.42,
							"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": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10385.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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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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							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 699.74,
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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"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"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": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EPIDRM AUTOGRAFT FACENCKHFG",
			"code_information": [
				{
					"code": "15115",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 7874.9,
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					"maximum": 6299.92,
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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": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "AIDS Healthcare Foundation",
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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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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
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						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "L.A Care Health Plan",
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						{
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						{
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						{
							"payer_name": "Managed Health Network",
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						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "fee schedule"
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							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "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 Cal-Mediconnect",
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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": 2278.49,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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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": 624.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6299.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 655.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 668.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "SPL THK AUTOGR ACNCKHNFT100",
			"code_information": [
				{
					"code": "15120",
					"type": "CPT"
				}
			],
			"standard_charges": [
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					"setting": "outpatient",
					"gross_charge": 12982,
					"discounted_cash": 5827,
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					"maximum": 10385.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 698.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 6275.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 665.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 665.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 4572.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 5271.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 6723.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"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": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"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 Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 6544.45,
							"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 Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 665.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTITIS MEDIA AND URI WITH MCC",
			"code_information": [
				{
					"code": "152",
					"type": "TRIS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 21296.7,
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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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"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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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": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 16524.9,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 13680.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 14103.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 13680.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 11753.1,
							"estimated_amount": 6862,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 14103.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 13513.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 13680.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17159.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11988.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 18217.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11753.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPL ALLOG SKINDERM SUB 1ST",
			"code_information": [
				{
					"code": "15271",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"discounted_cash": 2962,
					"minimum": 72.2,
					"maximum": 6950.12,
					"payers_information": [
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2606.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 72.2,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 72.2,
							"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": 1268.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"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": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 77.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 475.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 2324.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 808.86,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Anthem Blue cross",
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							"standard_charge_dollar": 75.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6260.64,
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 1268.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 201.12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare 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",
							"standard_charge_dollar": 72.2,
							"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 Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 2278,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 2278,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 670.4,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 1586,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1586,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 75.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2347.74,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 77.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 72.2,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 670.4,
							"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": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 77.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1268.8,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 2278,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 75.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 670.4,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 75.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 77.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4430.7,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3991.16,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6260.64,
							"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": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 341.9,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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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": 2324.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"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": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 75.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 72.2,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1586,
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 670.4,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 670.4,
							"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 Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 1586,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 72.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "GFT XENO ADDTL 100 CM2",
			"code_information": [
				{
					"code": "15272",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1586,
					"minimum": 14.31,
					"maximum": 6260.64,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.8,
							"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": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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",
							"standard_charge_dollar": 15.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation 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",
							"standard_charge_dollar": 15.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1778.4,
							"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": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1133.73,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Anthem Blue cross",
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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": "Health Net Of CA",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1268.8,
							"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,
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Keenan",
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						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Keenan",
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue cross",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "Keenan",
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						{
							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Traditional Medi-Cal",
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						},
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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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Aetna",
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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"
						},
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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": "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": "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": "Anthem Blue cross",
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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": "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": "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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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "L.A 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": "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": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "L.A 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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina",
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							"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": "Traditional 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": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "APPL SK TRK,AR 1ST BDY100SQCM",
			"code_information": [
				{
					"code": "15273",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 13673,
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							"payer_name": "AIDS Healthcare 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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							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan",
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							"payer_name": "USA Senior Care Network",
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							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Traditional Medicare",
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							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
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						{
							"payer_name": "MULTIPLAN",
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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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						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
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							"payer_name": "Non contracted Medicare",
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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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							"payer_name": "THREE RIVERS",
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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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						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Alignment",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 184.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"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"
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							"payer_name": "Traditional 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",
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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": "CORVEL",
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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": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"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 Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 5271.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 5110.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 6723.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 4572.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 6947.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 5325.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 5110.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 670.4,
							"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": 13673,
							"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": 6544.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 184.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 180.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 4482.5,
							"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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 6275.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Skn sub grft tal child add",
			"code_information": [
				{
					"code": "15274",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3720.62,
					"minimum": 36.64,
					"maximum": 2976.5,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"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": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1116.19,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1897.52,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 341.9,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2976.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2976.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 38.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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 IPA",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 2976.5,
							"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": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 201.12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 39.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 39.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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 IPA",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2976.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "APPLY SK FAC,HND,GEN1ST 25SQCM",
			"code_information": [
				{
					"code": "15275",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8687.65,
					"discounted_cash": 2962,
					"minimum": 83.09,
					"maximum": 6950.12,
					"payers_information": [
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2606.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 87.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 83.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 83.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 83.09,
							"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": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 83.09,
							"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 Medicare",
							"standard_charge_dollar": 2324.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 2347.74,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3991.16,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"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": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 2033,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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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": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 83.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4430.7,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 3531.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 83.09,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"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 Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 83.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 83.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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 Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"payer_name": "ZELIS HEALTHCARE",
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							"payer_name": "Brand New Day",
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							"payer_name": "THREE RIVERS",
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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": "L.A Care Health Plan",
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							"payer_name": "Molina",
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							"payer_name": "PRIME HEALTH SERVICES",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "PRIME HEALTH SERVICES",
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							"payer_name": "Renal Payer Solutions",
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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": "Imperial Health Plan",
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							"payer_name": "L.A Care Health Plan",
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							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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						},
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							"payer_name": "CORVEL",
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							"payer_name": "Health Net Of CA",
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							"payer_name": "Aetna",
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							"payer_name": "USA Senior Care Network",
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							"methodology": "percent of total billed charges"
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					]
				}
			]
		},
		{
			"description": "Skin sub graft fnhfg addl",
			"code_information": [
				{
					"code": "15276",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "AIDS Healthcare Foundation",
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						{
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							"payer_name": "Aetna",
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							"payer_name": "Non-Contracted Medi-Cal",
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					]
				}
			]
		},
		{
			"description": "ALLOG SKIN SUBS FACEFT*1ST100",
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				{
					"code": "15277",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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							"payer_name": "Keenan",
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							"payer_name": "Imperial Health Plan",
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							"payer_name": "THREE RIVERS",
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							"payer_name": "THREE RIVERS",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 186.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non contracted Medicare",
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							"standard_charge_dollar": 2278.49,
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							"methodology": "fee schedule"
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							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 189.55,
							"estimated_amount": 999999999,
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						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3991.16,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 2679.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2347.74,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6950.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6260.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 341.9,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 2734.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 2597.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2606.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 2706.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 2652.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"payer_name": "Naphcare",
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							"payer_name": "Alignment",
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							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"payer_name": "L.A Care Health Plan",
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							"payer_name": "AIDS Healthcare Foundation",
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						},
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							"payer_name": "Anthem Blue cross",
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						},
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							"payer_name": "PRIME HEALTH SERVICES",
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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Renal Payer Solutions",
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							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "fee schedule"
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							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net Of CA",
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						},
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							"payer_name": "Blue Shield Of Promise",
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						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "Naphcare",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
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							"payer_name": "Aetna",
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						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
		},
		{
			"description": "Skn sub grft fnhfg ch add",
			"code_information": [
				{
					"code": "15278",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 3048.8,
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						{
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						{
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							"payer_name": "L.A Care Health Plan",
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						{
							"payer_name": "Anthem Blue cross",
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							"payer_name": "Keenan",
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							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 1943.61,
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							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1012.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 3048.8,
							"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": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTITIS MEDIA AND URI WITHOUT MCC",
			"code_information": [
				{
					"code": "153",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9684,
					"minimum": 4508.39,
					"maximum": 13498.5,
					"payers_information": [
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7598.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8671.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4508.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 9684.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 8939.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 13498.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 8671.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 8475.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12175.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7524.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10876.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8939.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 8671.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 8760.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 8492.44,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8671.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7449.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 8850.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 11546.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 10474,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 8671.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8492.44,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 8939.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CASE COORDINATION15 MIN PER U",
			"code_information": [
				{
					"code": "15305",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 36,
					"minimum": 10.8,
					"maximum": 28.8,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 28.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 28.8,
							"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": 28.8,
							"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": 18.36,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 10.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",
			"code_information": [
				{
					"code": "154",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21778,
					"minimum": 13280.7,
					"maximum": 30355.5,
					"payers_information": [
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 25966.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 27821.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 19499.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 21778.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 19499.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 20103,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 19366.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 20103,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 19097.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 19499.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 19499.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 19097.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 23554,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 19901.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13280.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24458.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 19499.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 20103,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 30355.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16920,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 17087.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 16752.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",
			"code_information": [
				{
					"code": "155",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12618,
					"minimum": 8923.19,
					"maximum": 17588.4,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15971.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 11298.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 11298.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9900.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14171.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11415,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 11065.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9803.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8923.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11647.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 11118.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 11298.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 11298.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11531.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11298.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 11647.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 15045.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11647.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17588.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 13647.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 9706.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 11065.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12618.6,
							"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": 9164,
					"minimum": 7049.76,
					"maximum": 12774.2,
					"payers_information": [
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 9911.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8036.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 8205.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8205.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 8007.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 8205.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7120.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 8459.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 8205.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 8375.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7190.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 9164.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 10927.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 8290.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8459.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 8459.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 8036.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7742.87,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11503,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12774.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8205.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7049.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10292.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7049.76,
							"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": 21926,
					"minimum": 16866.4,
					"maximum": 30561.9,
					"payers_information": [
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 19632.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 23373.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24624.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 20239.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 28013.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 23714.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 20239.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 19632.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 19632.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 19227.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 19499.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 19632.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 20037.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 30561.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 21926.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 19227.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 17203.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19834.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 26142.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 17035,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 19632.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16866.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Muscle-skin graft leg",
			"code_information": [
				{
					"code": "15738",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 21816,
					"discounted_cash": 5827,
					"minimum": 1349.48,
					"maximum": 17452.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 1349.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 6302.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 1416.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 1349.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 17452.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 5325.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 17452.8,
							"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": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 4572.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 5271.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 17452.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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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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							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"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"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 1349.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 1349.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 1443.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 1349.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 1349.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 6947.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 5379,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 6544.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 6544.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5217.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4527.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 5110.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 17452.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 1349.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 5110.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4482.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CALLUS ABRASION (SINGLE)",
			"code_information": [
				{
					"code": "15786",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 480.85,
					"discounted_cash": 325,
					"minimum": 92.39,
					"maximum": 387.7,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 245.23,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
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							"payer_name": "L.A 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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "L.A 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"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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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"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 387.7,
							"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",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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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": "Anthem Blue cross",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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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": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"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": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Abrasion lesions add-on",
			"code_information": [
				{
					"code": "15787",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
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					"maximum": 384.68,
					"payers_information": [
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							"payer_name": "Anthem Blue cross",
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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": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 245.23,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "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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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL AND ORAL DISEASES WITH CC",
			"code_information": [
				{
					"code": "158",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 17717.3,
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							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 11733.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 13747.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 11381.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17717.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 15155.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 11146.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 16091.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11733.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9973.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11381.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 11200.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 11381.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 11381.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11733.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14275.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 11381.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11498.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 11146.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11616,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 9777.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VASC BLOOD FLOW IN FLAPGRAFT",
			"code_information": [
				{
					"code": "15860",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 486.88,
					"discounted_cash": 647,
					"minimum": 146.06,
					"maximum": 486.88,
					"payers_information": [
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 148.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 158.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 148.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 148.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 155.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 389.5,
							"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": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 148.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 389.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 146.06,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 148.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 248.31,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 148.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 389.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 148.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 389.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 486.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL AND ORAL DISEASES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "159",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8995,
					"minimum": 6919.58,
					"maximum": 12538.3,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 8054.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 7888.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 8303.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9334.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 10725.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12538.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8054.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8303.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 8054.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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": 6988.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 8303.5,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7057.97,
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 8137.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 8220.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 8995.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8054.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 9728.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11284,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 7888.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 8054.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10102.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 7855.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 6919.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "160",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9422.69,
					"maximum": 9422.69,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Initial treatment of burn(s)",
			"code_information": [
				{
					"code": "16000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 882.25,
					"discounted_cash": 325,
					"minimum": 45.93,
					"maximum": 705.8,
					"payers_information": [
						{
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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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": 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": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.93,
							"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": "Brand New Day",
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							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 529.35,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49.15,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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": "Keenan",
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							"standard_charge_dollar": 264.68,
							"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": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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 Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 529.35,
							"standard_charge_percentage": 60.0,
							"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": 449.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1601",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25007.5,
					"maximum": 26758,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 26758,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1602",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 29705.7,
					"maximum": 31785.1,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 31785.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEBRIDDRESS, SMALL*INISBSQT",
			"code_information": [
				{
					"code": "16020",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 465,
					"discounted_cash": 325,
					"minimum": 45.4,
					"maximum": 705.8,
					"payers_information": [
						{
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 424,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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": 45.4,
							"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": 372,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 529.35,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 264.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 372,
							"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 Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 372,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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": 47.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 47.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 424,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 237.15,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 45.4,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"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": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 139.5,
							"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": 45.4,
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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 Cal-Mediconnect",
							"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": "Aetna",
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							"standard_charge_dollar": 424,
							"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": 449.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 529.35,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 372,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 159,
							"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": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": 48.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 48.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 48.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.4,
							"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 CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 270.3,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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 Commercial - Non-Contracted ",
							"standard_charge_dollar": 424,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": 47.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BURN,DRESSDEBRID 5%-10%*MED",
			"code_information": [
				{
					"code": "16025",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 847,
					"discounted_cash": 325,
					"minimum": 86.51,
					"maximum": 677.6,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": 677.6,
							"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-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": 90.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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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": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 508.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"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": "L.A Care Health Plan",
							"plan_name": "L.A 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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 254.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 254.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"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 Commercial",
							"standard_charge_dollar": 431.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 92.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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 Medi-Cal",
							"standard_charge_dollar": 92.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 90.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 86.51,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"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": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1603",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 45882.3,
					"maximum": 49094,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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",
							"standard_charge_dollar": 49094,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BURN, DRESSDEBRID >10%*LARGE",
			"code_information": [
				{
					"code": "16030",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 847,
					"discounted_cash": 647,
					"minimum": 116.95,
					"maximum": 772.21,
					"payers_information": [
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 508.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 585.88,
							"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 Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 567.95,
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 591.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 125.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"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": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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 FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 772.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 508.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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 Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 567.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 579.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 597.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 122.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 597.84,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 254.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 579.9,
							"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": 103939,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 103939,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 97139.4,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 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"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "161",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21661.1,
					"maximum": 21661.1,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21661.1,
							"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": 131754,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"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 IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 123135,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 123135,
							"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": "IMPLANTABLE HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1612",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 129460,
					"maximum": 138523,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 129460,
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 138523,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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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": "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"
						}
					]
				}
			]
		},
		{
			"description": "IMPLANTABLE HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1613",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 161433,
					"maximum": 172733,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 161433,
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 172733,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 161433,
							"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": 161433,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 161433,
							"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": "IMPLANTABLE HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1614",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 213038,
					"maximum": 227950,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 227950,
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 213038,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "162",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 14882.1,
					"maximum": 14882.1,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1621",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 38173.3,
					"maximum": 40845.5,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"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": "L.A 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": "Molina",
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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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1622",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 43960.5,
					"maximum": 47037.8,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"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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							"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": "Traditional Medi-Cal",
							"plan_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 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",
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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": 47037.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1623",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 56264.6,
					"maximum": 60203.1,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": "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 IPA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"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": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1624",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 83071.7,
					"maximum": 88886.7,
					"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 83071.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 88886.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 83071.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 83071.7,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": 83071.7,
							"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": "MAJOR CHEST PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "163",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 61221,
					"minimum": 43738.6,
					"maximum": 85333.2,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 47093.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 54816.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 47093.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 47093.4,
							"estimated_amount": 999999999,
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						},
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							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
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						},
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							"payer_name": "CORVEL",
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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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						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
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						},
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							"payer_name": "Imperial Health Plan",
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						},
						{
							"payer_name": "THREE RIVERS",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Alignment",
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "PROVIDER SELECT",
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1631",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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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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			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
			"code_information": [
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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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						},
						{
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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": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1633",
					"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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1634",
					"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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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "164",
					"type": "MS-DRG"
				}
			],
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					"discounted_cash": 33556,
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					"maximum": 46771.9,
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							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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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							"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",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 36292.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 30665,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 25812.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 43059.1,
							"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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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
						},
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							"payer_name": "THREE RIVERS",
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						},
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						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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						},
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							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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						},
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
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							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Imperial Health Plan",
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "165",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 34736.5,
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						},
						{
							"payer_name": "Managed Health Network",
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
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							"payer_name": "Employer Direct Healthcare",
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
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						},
						{
							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "THREE RIVERS",
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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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": "Anthem Blue cross",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1651",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 35814.1,
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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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						},
						{
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation 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": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1652",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 38864.9,
					"maximum": 41585.5,
					"payers_information": [
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							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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",
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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",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 41585.5,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 38864.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 38864.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 38864.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 38864.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1653",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 46725,
					"maximum": 49995.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 46725,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49995.8,
							"estimated_amount": 999999999,
							"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": "Anthem Blue cross",
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			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
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				{
					"code": "1654",
					"type": "APR-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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						},
						{
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						},
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						},
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						},
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					]
				}
			]
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			"description": "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC",
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				{
					"code": "166",
					"type": "MS-DRG"
				}
			],
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						},
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						},
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						},
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						},
						{
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
							"payer_name": "Naphcare",
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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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						},
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						},
						{
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						},
						{
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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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": "PROVIDER SELECT",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WO AMI OR COMPLEX PDX ",
			"code_information": [
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					"code": "1661",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "L.A 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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						},
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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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		{
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					"code": "1662",
					"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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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "CORONARY BYPASS WO AMI OR COMPLEX PDX ",
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				{
					"code": "1663",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 38970,
					"maximum": 41697.9,
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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": "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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 38970,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WO AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1664",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 61319.1,
					"payers_information": [
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							"standard_charge_dollar": 57307.5,
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 61319.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 57307.5,
							"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",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 57307.5,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "167",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 24434,
					"minimum": 18795.9,
					"maximum": 34058.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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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 Cal-Mediconnect",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": 27442.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 21427.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 19306,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18983.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 24434.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 19171.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 22104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 22329.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 29133.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 34058.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 22555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 31258.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 22555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 21427.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 22555.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 21878.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 21878.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 18795.9,
							"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": "Aetna",
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							"standard_charge_dollar": 18795.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 21448.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 26427.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network 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"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1671",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25303.8,
					"maximum": 27075,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 27075,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1672",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 26537.9,
					"maximum": 28395.5,
					"payers_information": [
						{
							"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",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 26537.9,
							"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",
							"standard_charge_dollar": 28395.5,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1673",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 39311.3,
					"maximum": 42063.1,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 42063.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1674",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 64981.4,
					"maximum": 69530.1,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 69530.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"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": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "168",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18176,
					"minimum": 13981.7,
					"maximum": 25334.9,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16778.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20413.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 16274.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21671.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 18176.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14121.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 16993.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16778.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 25334.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 19658.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15939.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14261.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16610.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 16274.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 23161.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 16122.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 16274.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16778.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 16274.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16442.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15939.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13981.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 16274.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BED KINAIR 3 WSCALE",
			"code_information": [
				{
					"code": "16863",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 611,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 488.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 488.8,
							"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": 311.61,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 488.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 183.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 488.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BED KINAIR 3 WOSCALE",
			"code_information": [
				{
					"code": "16864",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 414,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 331.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 211.14,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 331.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 124.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 331.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 331.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BED THERAPULSE",
			"code_information": [
				{
					"code": "16865",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 645,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 193.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 516,
							"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": 328.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 516,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 516,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 516,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BED PEDIKAIR",
			"code_information": [
				{
					"code": "16866",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 492,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 393.6,
							"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": 250.92,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 393.6,
							"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": 393.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 393.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 147.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BED BARI-AIR",
			"code_information": [
				{
					"code": "16867",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1174,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 352.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 939.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 939.2,
							"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": 939.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 939.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 598.74,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BED FLUID-AIR ELITE",
			"code_information": [
				{
					"code": "16868",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 447,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 227.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 357.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 357.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 134.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 357.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 357.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "MATTRESS 1ST STEP SELECT",
			"code_information": [
				{
					"code": "16869",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 239,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 191.2,
							"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": 191.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 71.7,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 121.89,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 191.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 191.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BED Q2 PLUS",
			"code_information": [
				{
					"code": "16872",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 447,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 357.6,
							"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": 357.6,
							"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": 227.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 357.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 134.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 357.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "169",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6583.6,
					"maximum": 6583.6,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6583.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1691",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 24936.4,
					"maximum": 26682,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 26682,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1692",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25402.8,
					"maximum": 27181,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 27181,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"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": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1693",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32718.4,
					"maximum": 35008.7,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 35008.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1694",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 51367.2,
					"maximum": 54962.9,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 54962.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "170",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4849.97,
					"maximum": 4849.97,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4849.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ELECTRICAL CAUTERIZATION-P",
			"code_information": [
				{
					"code": "17000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 167,
					"discounted_cash": 325,
					"minimum": 50.1,
					"maximum": 167,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"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": 73.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 50.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"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-Mediconnect",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 85.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 85.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"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": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 107.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 50.1,
							"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": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 167,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "WOUND CAUTERY 2-14 LESIONS",
			"code_information": [
				{
					"code": "17003",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 167,
					"minimum": 8.55,
					"maximum": 133.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 85.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"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": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 50.1,
							"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 Medi-Cal",
							"standard_charge_dollar": 9.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"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": 133.6,
							"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 Medi-Cal IPA",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 50.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"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": 85.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"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": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 133.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1701",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19569.6,
					"maximum": 20939.5,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20939.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": 21729.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21729.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20308.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 29183.8,
					"payers_information": [
						{
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 29183.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 27274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 27274.5,
							"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": 40985.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 40985.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"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": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 38304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "WOUND VAC",
			"code_information": [
				{
					"code": "17058",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 405,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 324,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 324,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 121.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 324,
							"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": 206.55,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "WOUND VACAUTO CHG",
			"code_information": [
				{
					"code": "17064",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 405,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 324,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 324,
							"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": 206.55,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 324,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 324,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "171",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5327.24,
					"maximum": 5327.24,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5327.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Destruction of skin lesions",
			"code_information": [
				{
					"code": "17106",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 523,
					"discounted_cash": 647,
					"minimum": 156.9,
					"maximum": 523,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 265.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 284.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 265.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 523,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 265.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": "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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 265.95,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 418.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 418.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 418.4,
							"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": 279.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 265.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 265.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 418.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 156.9,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 266.73,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 523,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 265.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 523,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BARI-REHAB EQUIPMENT RENTAL",
			"code_information": [
				{
					"code": "17108",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1020,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 816,
							"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": 520.2,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 816,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 306,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 816,
							"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": 816,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1711",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13958.5,
					"maximum": 14935.7,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13958.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14935.7,
							"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": 16940.5,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15832.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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 IPA",
							"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": 16940.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
			"code_information": [
				{
					"code": "1713",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20550.5,
					"maximum": 21989,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21989,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20550.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32139.9,
					"maximum": 34389.7,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 32139.9,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 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": 34389.7,
							"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"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "172",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6286.47,
					"maximum": 6286.47,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6286.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CAUT CHEM TISSUE GRANULATION",
			"code_information": [
				{
					"code": "17250",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 846.5,
					"discounted_cash": 325,
					"minimum": 28.83,
					"maximum": 677.2,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 212,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 177.48,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"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 Commercial Enhanced PPO",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"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": 30.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 212,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 285.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"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": 278.4,
							"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": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 387.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.2,
							"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 MSSP",
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"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": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 30.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 351.68,
							"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 Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 297.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 348,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 677.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 255.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.95,
							"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": 28.83,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted 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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 278.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 104.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 30.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 348,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 677.2,
							"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 IPA",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 294.15,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 291.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 300.16,
							"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 FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM",
			"code_information": [
				{
					"code": "173",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 40849,
					"minimum": 31423,
					"maximum": 56938.4,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 40849.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 36576.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 45877.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 36576.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 37707.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 36541.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 36576.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 52495.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 35822.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 35822.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 37707.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 36953.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 39928.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 36576.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 48705.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 31737.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 44180.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 37707.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 32051.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 56938.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 37330.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 31423,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 36576.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BED KENAIR IV",
			"code_information": [
				{
					"code": "17331",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 701,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 560.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 560.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 560.8,
							"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": 357.51,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 210.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 560.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL CORD MONITORING 1 HOUR",
			"code_information": [
				{
					"code": "17347",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 377,
					"minimum": 113.1,
					"maximum": 9964.8,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 301.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 301.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 301.6,
							"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": 301.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 113.1,
							"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 Commercial",
							"standard_charge_dollar": 192.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "174",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5135.4,
					"maximum": 5135.4,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5135.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1741",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17197.5,
					"maximum": 18401.3,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18401.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1742",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18563.7,
					"maximum": 19863.2,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18563.7,
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							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19863.2,
							"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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1743",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 23111.8,
					"maximum": 24729.6,
					"payers_information": [
						{
							"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": "L.A Care Health Plan",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation 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": "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 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"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1744",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 33178.8,
					"maximum": 35501.3,
					"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": "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": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "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",
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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": 35501.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE",
			"code_information": [
				{
					"code": "175",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18906,
					"minimum": 13581.3,
					"maximum": 26352.3,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"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 Enhanced PPO",
							"standard_charge_dollar": 20447.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 26352.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 21233.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 17102.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 16579.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 17451.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 17451.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 17451.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 16781,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 14824,
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 18906.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 24105.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 16579.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 7789,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 14688.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 14834,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 16928.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1751",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17587.8,
					"maximum": 18819,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": "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 IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17587.8,
							"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": 17587.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 17587.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18819,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1752",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19761.8,
					"maximum": 21145.1,
					"payers_information": [
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							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 19761.8,
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21145.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1753",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 24637.2,
					"maximum": 26361.8,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 26361.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 24637.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1754",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36922.2,
					"maximum": 39506.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 39506.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EMBOLISM WITHOUT MCC",
			"code_information": [
				{
					"code": "176",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11043,
					"minimum": 7891.43,
					"maximum": 15393.2,
					"payers_information": [
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 13167.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9699.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15393.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10194.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9684.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 10194.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13933.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8580.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8665.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12402.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9888.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 10092.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9888.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9888.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11944.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9888.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9684.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7891.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 10194.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8495.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9990.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 11043.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9888.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",
			"code_information": [
				{
					"code": "1761",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14376.9,
					"maximum": 15383.3,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15383.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",
			"code_information": [
				{
					"code": "1762",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17215.5,
					"maximum": 18420.6,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18420.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONSCIOUS SEDATION",
			"code_information": [
				{
					"code": "17620",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 752,
					"minimum": 194.7,
					"maximum": 601.6,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 225.6,
							"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": 601.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 601.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 601.6,
							"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": 383.52,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 601.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",
			"code_information": [
				{
					"code": "1763",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25569,
					"maximum": 27358.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 25569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 25569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 25569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 25569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 25569,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 27358.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES",
			"code_information": [
				{
					"code": "1764",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 42891.6,
					"maximum": 45894,
					"payers_information": [
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							"payer_name": "Molina",
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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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "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": 42891.6,
							"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": "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC",
			"code_information": [
				{
					"code": "177",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21648,
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					"maximum": 30174.9,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 19383.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 23413.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 18013,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 15124.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 21648.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 19383.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 19383.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 19383.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 19983.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18984.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19983.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 27653.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16819.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24313.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 7343,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": 30174.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 19250.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19583.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16985.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 18984.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 16652.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 19383.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
			"code_information": [
				{
					"code": "1771",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10287.3,
					"maximum": 11007.4,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10287.3,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10287.3,
							"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": 10287.3,
							"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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10287.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11007.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
			"code_information": [
				{
					"code": "1772",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 15799.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 14766.3,
							"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",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 14766.3,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 14766.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15799.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 14766.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14766.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
			"code_information": [
				{
					"code": "1773",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20338.3,
					"maximum": 21762,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21762,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 20338.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
			"code_information": [
				{
					"code": "1774",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 28334.5,
					"maximum": 30317.9,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 30317.9,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28334.5,
							"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": "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC",
			"code_information": [
				{
					"code": "178",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13392,
					"minimum": 9396.96,
					"maximum": 18666.5,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 16972.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 11743.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 15967.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12362,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 11991.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 8816,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12114.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 13392.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 14484.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 11814.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 12362,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12362,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 9396.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12238.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15040.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 11743.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 11991.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 11991.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 10507.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18666.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 11991.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10301.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 11991.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1781",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 41988.8,
					"maximum": 44928,
					"payers_information": [
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							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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": 41988.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 41988.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 44928,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 41988.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 41988.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 41988.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1782",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 45929.3,
					"maximum": 49144.3,
					"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": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49144.3,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 45929.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 45929.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1783",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 51747.5,
					"maximum": 55369.9,
					"payers_information": [
						{
							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 51747.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 55369.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 51747.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 51747.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1784",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 67532.7,
					"maximum": 72260,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 72260,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 67532.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BED BARI-KARE",
			"code_information": [
				{
					"code": "17868",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1009,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 302.7,
							"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": 807.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 807.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 807.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 514.59,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 807.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "WOUND VAC-MINI",
			"code_information": [
				{
					"code": "17869",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 567,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 289.17,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 453.6,
							"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": 453.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 170.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 453.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 453.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "179",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10451,
					"minimum": 8038.82,
					"maximum": 14567.5,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9550.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8200.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9454.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11303.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9357.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9166.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9165,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9357.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 9647.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 9647.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9357.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 9647.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8038.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 10451.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8119.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14567.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9357.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11737.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9165,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12461.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9357.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13167.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8039.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1791",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 29409.4,
					"maximum": 31468.1,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 31468.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1792",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 33237.9,
					"maximum": 35564.5,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 35564.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1793",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40380.3,
					"maximum": 43206.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 43206.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1794",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 57855,
					"maximum": 61904.9,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 61904.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BED PEDIDYNE",
			"code_information": [
				{
					"code": "17948",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1020,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 816,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 816,
							"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": 816,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 816,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 306,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 520.2,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY NEOPLASMS WITH MCC",
			"code_information": [
				{
					"code": "180",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 23384,
					"minimum": 17988.3,
					"maximum": 32594.8,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 21154.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 26263,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 25291.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 20938.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 23384.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 29900.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 18348.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 20938.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 20813.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 19879.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 20938.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 21586,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 20506.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 20938.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 21370.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 21586,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 21586,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18168.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 27881.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 20506.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 32594.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 20938.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 17988.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLATELET RECOVERY SERVICE",
			"code_information": [
				{
					"code": "18004",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1545,
					"minimum": 129.9,
					"maximum": 6864,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1236,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1236,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1236,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 1236,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 463.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 787.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1801",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10305.3,
					"maximum": 11026.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11026.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10305.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1802",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12658.4,
					"maximum": 13544.5,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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",
							"standard_charge_dollar": 13544.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 12658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1803",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17609.8,
					"maximum": 18842.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18842.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17609.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
			"code_information": [
				{
					"code": "1804",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 30727.6,
					"maximum": 32878.6,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 32878.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 30727.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BED THERA PULSE II",
			"code_information": [
				{
					"code": "18060",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 972,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 777.6,
							"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": 777.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 777.6,
							"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": 495.72,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 777.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 291.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BED BARIMAXX II",
			"code_information": [
				{
					"code": "18071",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 697,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 557.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 557.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 557.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 209.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 557.6,
							"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": 355.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "DIAL LOCK KNEE BRACE",
			"code_information": [
				{
					"code": "18080",
					"type": "CDM"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 208,
					"minimum": 62.4,
					"maximum": 1013.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 106.08,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 62.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 166.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 166.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 166.4,
							"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": 166.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY NEOPLASMS WITH CC",
			"code_information": [
				{
					"code": "181",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14955,
					"minimum": 11503.9,
					"maximum": 20845.1,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13390.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 13804.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11619,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14955.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11881.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 13221.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 13804.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20845.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 13666.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 13390.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11734,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16795.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18994.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 13114.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 17831.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 16174.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 13390.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 13528.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 13390.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 13390.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 13804.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 13114.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 11503.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1811",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13463.1,
					"maximum": 14405.5,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14405.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1812",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18568.7,
					"maximum": 19868.5,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 17827,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19868.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1813",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 28143.3,
					"maximum": 30113.3,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30113.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1814",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 43343,
					"maximum": 46377,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 46377,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY NEOPLASMS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "182",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11347,
					"minimum": 8729.1,
					"maximum": 15817.1,
					"payers_information": [
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9951.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 11347.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15817.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14327.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 10160.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10160.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 10474.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10160.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10372.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 10474.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 10370.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9973.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 10474.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10160.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 12273.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8816.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8903.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 10265.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9951.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8729.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10160.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 13530.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12744.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1821",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15910.3,
					"maximum": 17024,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17024,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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 IPA",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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": [
				{
					"setting": "inpatient",
					"minimum": 17559.8,
					"maximum": 18789,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 17559.8,
							"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"
						},
						{
							"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": 18789,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1823",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 21104,
					"maximum": 22581.3,
					"payers_information": [
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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": "Blue Shield Of Promise",
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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": "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": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1824",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 37075.3,
					"maximum": 39670.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 37075.3,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITH MCC",
			"code_information": [
				{
					"code": "183",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21262,
					"minimum": 16355.8,
					"maximum": 29636.7,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 Commercial Enhanced PPO",
							"standard_charge_dollar": 22996.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 18902,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19234.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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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": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 19038.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 23879.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16519.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16355.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18645.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 29636.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 16355.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16355.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 18645.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 16355.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 19430.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 21262.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16355.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 19038.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 16355.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19626.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1831",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34011.6,
					"maximum": 36392.4,
					"payers_information": [
						{
							"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",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 36392.4,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34011.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1832",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34751.3,
					"maximum": 37183.8,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 37183.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34751.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1833",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40327.3,
					"maximum": 43150.2,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40327.3,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 40327.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 40327.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 40327.3,
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40327.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 43150.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 40327.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
			"code_information": [
				{
					"code": "1834",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 60375.3,
					"maximum": 64601.6,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 64601.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 60375.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 60375.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 60375.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 60375.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 60375.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITH CC",
			"code_information": [
				{
					"code": "184",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14397,
					"minimum": 9832.12,
					"maximum": 20067.3,
					"payers_information": [
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12718.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 13289.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14397.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16169,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 13023.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 13289.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 9832.12,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 17165.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11296.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12890.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20067.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18272.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11185.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 15571,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 13289.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 12625.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 12625.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 13156.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 11074.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "185",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10557,
					"minimum": 8120.84,
					"maximum": 14715,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 10557.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9452.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 9260.44,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 9745.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9257.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 9452.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14715,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11417.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8451.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11856.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 8283.26,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12587.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9452.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13304.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9452.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 9745.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8202.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 9745.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9647.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9257.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 9452.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8120.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 9550.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITH MCC",
			"code_information": [
				{
					"code": "186",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21165,
					"minimum": 16281.5,
					"maximum": 29502.1,
					"payers_information": [
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 27029.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 19537.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 23771,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 18951.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16444.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 18560.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 19147.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 18816.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 19342.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 29502.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 21166,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 22891.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 16607.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 18560.9,
							"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": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20285.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 18951.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 19537.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 18951.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18951.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 19537.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 18951.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 16281.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 25236.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITH CC",
			"code_information": [
				{
					"code": "187",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13549,
					"minimum": 10405.3,
					"maximum": 18885.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 12507.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17175.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10405.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 12132,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10526.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 11955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 16155.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 12132,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 14654.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 12132,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 10631.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 13549.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 12132,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12507.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 12382.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15217.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12507.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 12257.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 11881.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 11881.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10422.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12132,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "188",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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							"payer_name": "THREE RIVERS",
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						},
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							"payer_name": "Astiva Health Inc",
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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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						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						{
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						},
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							"payer_name": "CORVEL",
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							"payer_name": "Anthem Blue cross",
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							"payer_name": "USA Senior Care Network",
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						},
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							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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						{
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						{
							"payer_name": "Health Net Of CA",
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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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							"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": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
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							"payer_name": "Managed Health Network",
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							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
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							"payer_name": "Employer Direct Healthcare",
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						},
						{
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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
							"payer_name": "Imperial Health Plan",
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EDEMA AND RESPIRATORY FAILURE",
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				{
					"code": "189",
					"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"
						},
						{
							"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": "MULTIPLAN",
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						},
						{
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						},
						{
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						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
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						},
						{
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							"plan_name": "Health Net Of CA Medicare",
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						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 9518,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 15356.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 14588.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12796.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12924.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 17992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14895.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 12796.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 14895.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC",
			"code_information": [
				{
					"code": "190",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 15123,
					"minimum": 11165.7,
					"maximum": 21079.2,
					"payers_information": [
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							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 13820.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11633.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 11633.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 13540.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11633.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 13540.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11749.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 13959.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 13540.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 11633.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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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": "Health Net Of CA",
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						},
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
						{
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
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						},
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						},
						{
							"payer_name": "Alignment",
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						},
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						},
						{
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
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						},
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						},
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							"payer_name": "CORVEL",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
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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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							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Naphcare",
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						},
						{
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1901",
					"type": "APR-DRG"
				}
			],
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						},
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							"payer_name": "L.A Care 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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						},
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						}
					]
				}
			]
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			"description": "ACUTE MYOCARDIAL INFARCTION ",
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				{
					"code": "1902",
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				}
			],
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						},
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						},
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						},
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						},
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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": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1903",
					"type": "APR-DRG"
				}
			],
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						},
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						},
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						},
						{
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						},
						{
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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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						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1904",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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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						},
						{
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						}
					]
				}
			]
		},
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			"description": "BX BREAST 1ST LESION US IMAG",
			"code_information": [
				{
					"code": "19083",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
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						},
						{
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							"methodology": "fee schedule"
						},
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "percent of total billed charges"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "Health Net Of CA",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Employer Direct Healthcare",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"payer_name": "ZELIS HEALTHCARE",
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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": "L.A Care Health Plan",
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							"payer_name": "L.A Care Health Plan",
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "AIDS Healthcare Foundation",
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							"payer_name": "PROVIDER SELECT",
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							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"payer_name": "THREE RIVERS",
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							"payer_name": "PRIME HEALTH SERVICES",
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					]
				}
			]
		},
		{
			"description": "Bx breast add lesion us imag",
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				{
					"code": "19084",
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				}
			],
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					"setting": "outpatient",
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					]
				}
			]
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				{
					"code": "191",
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			],
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					"setting": "inpatient",
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						{
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						{
							"payer_name": "THREE RIVERS",
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							"payer_name": "Alignment",
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						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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						},
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							"payer_name": "Non contracted Medicare",
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
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			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
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				{
					"code": "1911",
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						}
					]
				}
			]
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			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
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				{
					"code": "1912",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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						},
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Blue Shield Of Promise",
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							"payer_name": "L.A Care Health Plan",
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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"
						},
						{
							"payer_name": "Anthem Blue cross",
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						}
					]
				}
			]
		},
		{
			"description": "Removal of breast lesion",
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				{
					"code": "19120",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"discounted_cash": 6191,
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Employer Direct Healthcare",
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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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							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "PRIME HEALTH SERVICES",
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						},
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							"payer_name": "Aetna",
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							"payer_name": "L.A Care Health Plan",
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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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							"methodology": "percent of total billed charges"
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							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
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						},
						{
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						{
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						},
						{
							"payer_name": "THREE RIVERS",
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
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							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Health Net Of CA",
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						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
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							"payer_name": "Naphcare",
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						},
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						},
						{
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "percent of total billed charges"
						},
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						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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						},
						{
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Health Net Of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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					]
				}
			]
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		{
			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
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				{
					"code": "1913",
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				}
			],
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				{
					"setting": "inpatient",
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 12183,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"standard_charge_dollar": 12183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 12183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 12183,
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
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				{
					"code": "1914",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 20143.1,
					"maximum": 21553.1,
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						{
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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						},
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
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			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC",
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				{
					"code": "192",
					"type": "MS-DRG"
				}
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						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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						{
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						},
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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						},
						{
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						{
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						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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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						{
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						{
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			"description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ",
			"code_information": [
				{
					"code": "1924",
					"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SIMPLE PNEUMONIA AND PLEURISY WITH MCC",
			"code_information": [
				{
					"code": "193",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17697,
					"minimum": 13033.9,
					"maximum": 24667.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 17697.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 19875.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 21100.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 15846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 15846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 16009.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 19140.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 15693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 16336.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 13885.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 16172.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 16336.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 15519.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 15846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13749.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 16336.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 15846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 22542.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 6030,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 15519.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13033.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13613.5,
							"estimated_amount": 11896,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1931",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6771.09,
					"maximum": 7245.07,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7245.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Breast reduction",
			"code_information": [
				{
					"code": "19318",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 59256,
					"discounted_cash": 10591,
					"minimum": 1425.85,
					"maximum": 47404.8,
					"payers_information": [
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 9777.2,
							"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": 47404.8,
							"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": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 1425.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 47404.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 9777.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 12221.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 9777.2,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 9288.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11895.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 8147.67,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 1425.85,
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 9483.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 9679.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 9288.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 9483.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 1425.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 1425.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9483.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11455.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 1425.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 47404.8,
							"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": 1425.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 11406.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 47404.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
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						},
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							"payer_name": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional 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"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 1525.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1932",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9373.43,
					"maximum": 10029.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9373.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 10029.6,
							"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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							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9373.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9373.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9373.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1933",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12523.3,
					"maximum": 13399.9,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 12523.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12523.3,
							"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",
							"standard_charge_dollar": 13399.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 12523.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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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": "Blue Shield Of Promise",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1934",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19194.3,
					"maximum": 20537.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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							"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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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Peri-implt capslc brst compl",
			"code_information": [
				{
					"code": "19371",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 21816,
					"discounted_cash": 6191,
					"minimum": 605.06,
					"maximum": 17452.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 5715.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 647.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 5600.71,
							"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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": "Brand New Day",
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							"standard_charge_dollar": 4810.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 5543.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": "Anthem Blue cross",
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							"standard_charge_dollar": 17452.8,
							"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": 605.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 5543.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 4762.51,
							"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": "Aetna",
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							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 17452.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 5657.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 5715.01,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5715.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": "Aetna",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 5543.56,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
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							"payer_name": "Imperial Health Plan",
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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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						},
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							"payer_name": "Tricare",
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						},
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							"payer_name": "Employer Direct Healthcare",
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						{
							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "Revj reconstructed breast",
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				{
					"code": "19380",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 21816,
					"discounted_cash": 10591,
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					"maximum": 17452.8,
					"payers_information": [
						{
							"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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						},
						{
							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 786.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 734.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 11455.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 12628.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 8147.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "THREE RIVERS",
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						},
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							"payer_name": "L.A Care Health Plan",
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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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							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						{
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						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "L.A Care Health Plan",
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						{
							"payer_name": "Molina",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
						{
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						{
							"payer_name": "Brand New Day",
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							"payer_name": "Anthem Blue cross",
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						{
							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
		},
		{
			"description": "SIMPLE PNEUMONIA AND PLEURISY WITH CC",
			"code_information": [
				{
					"code": "194",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 15494.6,
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						},
						{
							"payer_name": "Naphcare",
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						},
						{
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Alignment",
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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": "USA Senior Care Network",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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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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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9765.38,
							"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": "Health Net Of CA",
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							"standard_charge_dollar": 12484.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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						},
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							"payer_name": "Imperial Health Plan",
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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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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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						},
						{
							"payer_name": "Non contracted Medicare",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
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							"payer_name": "Employer Direct Healthcare",
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						},
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							"payer_name": "PRIME HEALTH SERVICES",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "THREE RIVERS",
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "HEART FAILURE ",
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				{
					"code": "1941",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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						},
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							"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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							"payer_name": "L.A Care Health Plan",
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						}
					]
				}
			]
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			"description": "HEART FAILURE ",
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				{
					"code": "1942",
					"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": "HEART FAILURE ",
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					"code": "1943",
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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": "HEART FAILURE ",
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				{
					"code": "1944",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 14645.2,
					"maximum": 15670.3,
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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"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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": "SIMPLE PNEUMONIA AND PLEURISY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "195",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 8507,
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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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": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 7617.48,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 6544.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 11858.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 6544.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 6544.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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							"payer_name": "ZELIS HEALTHCARE",
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							"payer_name": "PROVIDER SELECT",
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			"description": "INTERSTITIAL LUNG DISEASE WITH MCC",
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				{
					"code": "196",
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				}
			],
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					"setting": "inpatient",
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						},
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							"payer_name": "Naphcare",
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						},
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						},
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						},
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							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
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							"payer_name": "Employer Direct Healthcare",
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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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						},
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						},
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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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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						},
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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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						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
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							"payer_name": "Renal Payer Solutions",
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						}
					]
				}
			]
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			"description": "CARDIAC ARREST & SHOCK ",
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				}
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						},
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					"code": "1962",
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				}
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						{
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						},
						{
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						}
					]
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					"code": "1963",
					"type": "APR-DRG"
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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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						},
						{
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						}
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					"code": "1964",
					"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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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTERSTITIAL LUNG DISEASE WITH CC",
			"code_information": [
				{
					"code": "197",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 13364,
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
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					"code": "1974",
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					"code": "198",
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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": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
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							"payer_name": "USA Senior Care Network",
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						},
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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						},
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							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10708.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8801.48,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"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": 7334.57,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Wellcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 9534.94,
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 8625.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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						}
					]
				}
			]
		},
		{
			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS ",
			"code_information": [
				{
					"code": "1981",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 4091.68,
					"maximum": 4378.1,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						},
						{
							"payer_name": "Anthem Blue cross",
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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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						}
					]
				}
			]
		},
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			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS ",
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				{
					"code": "1982",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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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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						},
						{
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
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			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS ",
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				{
					"code": "1983",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "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": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "Molina",
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						}
					]
				}
			]
		},
		{
			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS ",
			"code_information": [
				{
					"code": "1984",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 12265.7,
					"payers_information": [
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							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						}
					]
				}
			]
		},
		{
			"description": "PNEUMOTHORAX WITH MCC",
			"code_information": [
				{
					"code": "199",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 23616,
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					"maximum": 32917.4,
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							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care 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",
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							"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": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 21145.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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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": 26522.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 21145.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 21799.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 18348,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 18166.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 18166.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 21799.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 25541.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted 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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 21799.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 21021.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 20709.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Worker comp",
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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",
							"standard_charge_dollar": 18166.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 21145.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 21581.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSION ",
			"code_information": [
				{
					"code": "1991",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4386.94,
					"maximum": 4694.03,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"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",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal 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": 4386.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4386.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSION ",
			"code_information": [
				{
					"code": "1992",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5352.81,
					"maximum": 5727.51,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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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",
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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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						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSION ",
			"code_information": [
				{
					"code": "1993",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 7408.66,
					"maximum": 7927.27,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSION ",
			"code_information": [
				{
					"code": "1994",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 12968.7,
					"maximum": 13876.5,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12968.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 12968.7,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 13876.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PNEUMOTHORAX WITH CC",
			"code_information": [
				{
					"code": "200",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14918,
					"minimum": 9545.52,
					"maximum": 20793.5,
					"payers_information": [
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 13632.8,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 13082,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 14918.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 13082,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 13495.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 17786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 16134.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18946.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 11704.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 13357.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 13770.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 13770.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20793.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11590.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11475.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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						},
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							"payer_name": "L.A Care Health Plan",
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							"payer_name": "Health Net Of CA",
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						},
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							"payer_name": "Wellcare",
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						},
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							"payer_name": "PRIME HEALTH SERVICES",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
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						},
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						},
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							"payer_name": "Aetna",
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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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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						},
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						},
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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": "Molina",
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						},
						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
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			"description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS ",
			"code_information": [
				{
					"code": "2002",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
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						},
						{
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						},
						{
							"payer_name": "Health Net Of CA",
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						},
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						},
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							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						}
					]
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			]
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					"code": "2003",
					"type": "APR-DRG"
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					"setting": "inpatient",
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						},
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						},
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						},
						{
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						},
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						},
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						},
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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			"description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS ",
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					"code": "2004",
					"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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						},
						{
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						},
						{
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						},
						{
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						},
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						},
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			"description": "PNEUMOTHORAX WITHOUT CCMCC",
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					"code": "201",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "Employer Direct Healthcare",
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						},
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						{
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						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
						{
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						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 8061.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8261.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare 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": 7097.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2011",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 3861.47,
					"maximum": 4131.77,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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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							"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": "Traditional Medi-Cal",
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						}
					]
				}
			]
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			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2012",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 4988.49,
					"maximum": 5337.68,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"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"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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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							"estimated_amount": 999999999,
							"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": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2013",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7593.83,
					"maximum": 8125.4,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"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": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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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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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2014",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13838.4,
					"maximum": 14807.1,
					"payers_information": [
						{
							"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": "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": "Anthem Blue cross",
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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": "L.A Care Health Plan",
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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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			"description": "BRONCHITIS AND ASTHMA WITH CCMCC",
			"code_information": [
				{
					"code": "202",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 13056,
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					"maximum": 18198.4,
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							"payer_name": "Anthem Blue cross",
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						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 10229,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10143.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18198.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11810.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 15567.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 12051.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11931.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11690.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 10043.3,
							"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",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 14120.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 11690.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8829.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 10043.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 12051.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14663.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 13056.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 11690.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 11449.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHITIS AND ASTHMA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "203",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9484,
					"minimum": 5071.06,
					"maximum": 13220.2,
					"payers_information": [
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8317.35,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 8492.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7295.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8492.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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						},
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							"payer_name": "Alignment",
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						},
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							"payer_name": "Naphcare",
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						},
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						},
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						},
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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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						},
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						},
						{
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						},
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						},
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						},
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
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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": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "USA Senior Care Network",
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
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						},
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						},
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							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "Anthem Blue cross",
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						},
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						},
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							"payer_name": "MULTIPLAN",
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						},
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							"payer_name": "Molina",
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					]
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			]
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		{
			"description": "CHEST PAIN ",
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					"code": "2031",
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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					]
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				}
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						},
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						},
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						},
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						},
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						},
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						},
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						},
						{
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					]
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				}
			],
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						},
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						},
						{
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						},
						{
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						},
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						},
						{
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						},
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						{
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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": "204",
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				}
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						},
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							"payer_name": "THREE RIVERS",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						},
						{
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						},
						{
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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": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "MULTIPLAN",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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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": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
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						},
						{
							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Molina",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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						}
					]
				}
			]
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		{
			"description": "SYNCOPE & COLLAPSE ",
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				{
					"code": "2041",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
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						},
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						},
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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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": "2042",
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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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						},
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						}
					]
				}
			]
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			"description": "SYNCOPE & COLLAPSE ",
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					"code": "2043",
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				}
			],
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					"setting": "inpatient",
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
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			"description": "SYNCOPE & COLLAPSE ",
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					"code": "2044",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 12819.4,
					"payers_information": [
						{
							"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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							"estimated_amount": 999999999,
							"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"
						},
						{
							"payer_name": "Anthem Blue cross",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC",
			"code_information": [
				{
					"code": "205",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 35175.2,
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							"methodology": "case rate"
						},
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							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial 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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							"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": "MULTIPLAN",
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							"standard_charge_dollar": 22596,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 22596,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 28342,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 19606.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 22596,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 23061.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 35175.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 22828.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 23294.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 22130.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 22480.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 25236,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 23294.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 23294.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 30089.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 19412.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INJECT SINUS TRACT FOR XRAY",
			"code_information": [
				{
					"code": "20501",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 249,
					"minimum": 74.7,
					"maximum": 249,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 199.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 126.99,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 199.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 199.2,
							"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": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 74.7,
							"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 Medi-Cal IPA",
							"standard_charge_dollar": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 199.2,
							"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": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 249,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2051",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4196.77,
					"maximum": 4490.54,
					"payers_information": [
						{
							"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",
							"standard_charge_dollar": 4490.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"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": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2052",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5254.73,
					"maximum": 5622.56,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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",
							"standard_charge_dollar": 5622.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2053",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7810.02,
					"maximum": 8356.72,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"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": 7810.02,
							"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": 8356.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 7810.02,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2054",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16565.9,
					"maximum": 17725.5,
					"payers_information": [
						{
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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",
							"standard_charge_dollar": 17725.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"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": 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted 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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRIGGER POINT INJECTION",
			"code_information": [
				{
					"code": "20550",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 412,
					"discounted_cash": 481,
					"minimum": 65.68,
					"maximum": 867.88,
					"payers_information": [
						{
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 68.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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": 210.12,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 329.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 412,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 329.6,
							"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": 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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 65.68,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 68.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 329.6,
							"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"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"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",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 867.88,
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 412,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 123.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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 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",
							"standard_charge_dollar": 70.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 70.28,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 553.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 412,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INJ TRIGGER POINT 12 MUSCL",
			"code_information": [
				{
					"code": "20552",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12456,
					"discounted_cash": 481,
					"minimum": 52.49,
					"maximum": 9964.8,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 56.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 52.49,
							"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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3736.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 55.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": 6352.56,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC",
			"code_information": [
				{
					"code": "206",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12250,
					"minimum": 6409.3,
					"maximum": 17076,
					"payers_information": [
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 10969.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6409.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 11082.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 10743.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17076,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15495.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 12251,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 7924,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 10969.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10969.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 11308.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 13249.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 10969.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9518.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 9612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13758.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 10969.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 11308.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 10743.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 11195.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 14606.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 11308.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9423.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASPINJ JT,SMALL",
			"code_information": [
				{
					"code": "20600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 742,
					"discounted_cash": 481,
					"minimum": 46.46,
					"maximum": 867.88,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc 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": 49.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 593.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 593.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Brand New Day",
							"plan_name": "Brand New Day 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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 445.2,
							"standard_charge_percentage": 60.0,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": 46.46,
							"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 Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49.71,
							"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": 553.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"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 Cal-Mediconnect",
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"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, VA",
							"plan_name": "Blue Shield of CA, VA",
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 445.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 593.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 222.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 46.46,
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 593.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 48.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 325.45,
							"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": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"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": 48.78,
							"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": "EDUS US DRAININJ JTBURSA SM",
			"code_information": [
				{
					"code": "20604",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1237.4,
					"discounted_cash": 481,
					"minimum": 39.46,
					"maximum": 989.92,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna 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 Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 74.24,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 371.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 631.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 42.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 197.98,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 41.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 247.48,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"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": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 371.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"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": 989.92,
							"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": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 247.48,
							"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": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 247.48,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"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": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 197.98,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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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": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 247.48,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 197.98,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"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": "CORVEL",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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 IPA",
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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": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 247.48,
							"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": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 631.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Wellcare",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"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",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 370.06,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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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": "PROVIDER SELECT",
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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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 IPA",
							"standard_charge_dollar": 39.46,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 Medi-Cal",
							"standard_charge_dollar": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"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": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 631.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"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": "Anthem Blue cross",
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							"standard_charge_dollar": 444.07,
							"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",
							"standard_charge_dollar": 42.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 39.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 197.98,
							"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": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 371.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 247.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 41.43,
							"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 Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "ARTHROCENT ASPINJ JT,INTERMED",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1237.4,
					"discounted_cash": 481,
					"minimum": 54.46,
					"maximum": 989.92,
					"payers_information": [
						{
							"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 Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"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",
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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": 370.06,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 371.22,
							"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": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 553.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
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							"standard_charge_dollar": 515,
							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 58.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 57.18,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 57.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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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": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 377.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 325.45,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 58.27,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 57.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 742.44,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 515,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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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": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.46,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 515,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 412,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 631.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 412,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 412,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 515,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 412,
							"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": 515,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 262.65,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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",
							"standard_charge_dollar": 58.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 154.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EDUS US DRAININJ JTBURSA INT",
			"code_information": [
				{
					"code": "20606",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2994.05,
					"discounted_cash": 1123,
					"minimum": 45.05,
					"maximum": 2395.24,
					"payers_information": [
						{
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1339.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 985.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1526.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1026.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1261.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1339.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 898.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 864.04,
							"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": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 985.01,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1026.48,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1214.84,
							"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": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1296.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 864.04,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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 Commercial",
							"standard_charge_dollar": 1526.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1296.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1339.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1016.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 898.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1214.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1526.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 985.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1026.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 1214.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 1026.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1261.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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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": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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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": 2395.24,
							"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": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1016.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 864.04,
							"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": "Employer Direct Healthcare",
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							"standard_charge_dollar": 1209.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 872.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": 881.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 1339.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 898.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1526.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 985.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"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": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"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",
							"standard_charge_dollar": 48.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1209.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 1296.06,
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 1016.11,
							"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": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 1005.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1209.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1261.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 985.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"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": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 1209.66,
							"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": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1261.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan 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": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 1036.85,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2395.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 47.3,
							"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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2061",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5486.93,
					"maximum": 5871.02,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5871.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DRAININJECT JOINTBURSA",
			"code_information": [
				{
					"code": "20610",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1084.85,
					"discounted_cash": 481,
					"minimum": 65.68,
					"maximum": 989.92,
					"payers_information": [
						{
							"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": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 65.68,
							"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 Commercial",
							"standard_charge_dollar": 553.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Tricare",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 742.44,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"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": 867.88,
							"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": 65.68,
							"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": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 Medicare",
							"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": 68.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 70.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 742.44,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 68.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"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 Medicare",
							"standard_charge_dollar": 377.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 65.68,
							"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": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 325.45,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 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": 70.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"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 Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A 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 IPA",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 631.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"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 Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 867.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 371.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "US DRAININJ JOINT BURSA MAJOR",
			"code_information": [
				{
					"code": "20611",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1237.4,
					"discounted_cash": 481,
					"minimum": 52.87,
					"maximum": 989.92,
					"payers_information": [
						{
							"payer_name": "Wellcare",
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							"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": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "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 Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 55.51,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 56.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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 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 Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 631.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"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",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": "Managed Health Network",
							"plan_name": "Managed Health Network 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": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 371.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 371.22,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"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": 989.92,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"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 Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"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": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 371.22,
							"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": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"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": "Aetna",
							"plan_name": "Aetna 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 Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 989.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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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 Medi-Cal IPA",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 52.87,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 631.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATEINJECT GANGLION CYST",
			"code_information": [
				{
					"code": "20612",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 822,
					"discounted_cash": 481,
					"minimum": 54.36,
					"maximum": 657.6,
					"payers_information": [
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 657.6,
							"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 Enhanced PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 573.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 54.36,
							"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 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": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 58.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 493.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 657.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 246.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 57.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 54.36,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day 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-Mediconnect",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 439.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 370.06,
							"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": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional 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": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 657.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 430.75,
							"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": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 493.2,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 421.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 435.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 444.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 419.22,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 657.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 430.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"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": 6017.74,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5624.06,
							"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": "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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 5624.06,
							"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",
							"standard_charge_dollar": 6017.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2063",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8369.53,
					"maximum": 8955.4,
					"payers_information": [
						{
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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": "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": "Molina",
							"plan_name": "Molina 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": 8955.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2064",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16536.9,
					"maximum": 17694.5,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16536.9,
							"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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17694.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"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 IPA",
							"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"
						}
					]
				}
			]
		},
		{
			"description": "REMOVAL OF IMPLANT DEEP",
			"code_information": [
				{
					"code": "20680",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12456,
					"discounted_cash": 4615,
					"minimum": 217.89,
					"maximum": 9964.8,
					"payers_information": [
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 217.89,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 217.89,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 4175.09,
							"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": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 4217.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"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",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3736.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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 Medi-Cal IPA",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 5502.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"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": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 233.14,
							"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": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6352.56,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS",
			"code_information": [
				{
					"code": "207",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 85789,
					"minimum": 65992.2,
					"maximum": 119578,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 79190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 78398.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 76814.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 77606.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 76814.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 75231.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 102288,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 67312,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 119578,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 76814.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 110636,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 92785,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 79190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 77023.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 77317.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 75231.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 76814.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 238808,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 66652.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 79190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 76814.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 96348.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 65992.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2071",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4612.15,
					"maximum": 4935,
					"payers_information": [
						{
							"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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							"standard_charge_dollar": 4612.15,
							"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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4935,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2072",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5758.18,
					"maximum": 6161.25,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6161.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 5758.18,
							"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 Medi-Cal",
							"standard_charge_dollar": 5758.18,
							"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": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2073",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8150.33,
					"maximum": 8720.85,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted 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": 8720.85,
							"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 CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2074",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14539.1,
					"maximum": 15556.8,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina 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": "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": "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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 15556.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": 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": 35761,
					"minimum": 25653.6,
					"maximum": 49846.2,
					"payers_information": [
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 31360.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 32020.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 33010.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 49846.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 32350.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 23609,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 32020.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 40163,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 28059.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 25653.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 31965,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 27784,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 45912.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 32680.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 11406,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 32020.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 35761.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 33010.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 33010.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 27508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 38677.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 32020.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 31360.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 32020.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 42638.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "UnGrouped",
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				{
					"code": "209",
					"type": "TRIS-DRG"
				}
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				{
					"setting": "inpatient",
					"minimum": 5514.41,
					"maximum": 5514.41,
					"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": "210",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8065.73,
					"maximum": 8065.73,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXC FACE TUM DEEP 2 CM>",
			"code_information": [
				{
					"code": "21014",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 12456,
					"discounted_cash": 4615,
					"minimum": 432.61,
					"maximum": 9964.8,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 454.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 4217.7,
							"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": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 432.61,
							"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": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 432.61,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 432.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6352.56,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 462.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 432.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 432.61,
							"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 Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 432.61,
							"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": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 5502.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 9964.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 432.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 4175.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "211",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9243.71,
					"maximum": 9243.71,
					"payers_information": [
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							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9243.71,
							"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": 144324,
					"minimum": 10735.2,
					"maximum": 201166,
					"payers_information": [
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 131890,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 126562,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 129226,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 129226,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 133223,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 172079,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 129226,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 162088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 113239,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 129726,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 144325,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 126562,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 156093,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 129226,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 112129,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 130558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
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							"standard_charge_dollar": 186365,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 201166,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10735.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
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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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 129226,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 111019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "213",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 20431.6,
					"maximum": 20431.6,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "D22CL TXT NASAL BONE FX WO MAN",
			"code_information": [
				{
					"code": "21310",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 681,
					"discounted_cash": 351,
					"minimum": 204.3,
					"maximum": 544.8,
					"payers_information": [
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
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							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA 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 Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 405.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 419.09,
							"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": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"standard_charge_dollar": 308.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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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": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 544.8,
							"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": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 317.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 380.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 324.46,
							"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 MSSP",
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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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 314.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 408.6,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 314.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 270.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 270.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 275.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 270.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 270.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 270.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 314.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "214",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 6232.66,
					"maximum": 6232.66,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6232.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TREAT LOWER JAW FRACTURE",
			"code_information": [
				{
					"code": "21461",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 15576,
					"discounted_cash": 9511,
					"minimum": 854.44,
					"maximum": 12460.8,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10682.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 8780.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 8516.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 10975.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 854.44,
							"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": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
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							"payer_name": "Non contracted Medicare",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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						},
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							"payer_name": "MULTIPLAN",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
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						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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						},
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 897.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 11341.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 8516.86,
							"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": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 7463.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 8780.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 8341.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 8692.47,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 8604.66,
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "RESET DISLOCATED JAW",
			"code_information": [
				{
					"code": "21480",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1125.45,
					"discounted_cash": 383,
					"minimum": 101.47,
					"maximum": 900.36,
					"payers_information": [
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							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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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": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 346.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Managed Health Network",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A 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 Commercial",
							"standard_charge_dollar": 573.98,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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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 Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 900.36,
							"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": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 456.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Worker comp",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 342.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 900.36,
							"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 MSSP",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 335.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 300.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 342.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 675.27,
							"standard_charge_percentage": 60.0,
							"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": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 342.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OTHER HEART ASSIST SYSTEM IMPLANT",
			"code_information": [
				{
					"code": "215",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 140369,
					"minimum": 107977,
					"maximum": 195654,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 126980,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 167364,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 110136,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 125685,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 125685,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 129572,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 181248,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 151815,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 129572,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 125685,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 128276,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 123093,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 140370,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 123093,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 121267,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 109056,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 129572,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 125685,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 157646,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 195654,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 126166,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 125685,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 107977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ENDOGRAFT ILIAC ARTERY",
			"code_information": [
				{
					"code": "21550",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 745,
					"discounted_cash": 2633,
					"minimum": 106.81,
					"maximum": 745,
					"payers_information": [
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 114.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Exchange - Non-Contracted ",
							"standard_charge_dollar": 596,
							"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": 379.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 112.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 223.5,
							"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": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 745,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"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": "Anthem Blue cross",
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						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Managed Health Network",
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						},
						{
							"payer_name": "Aetna",
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						}
					]
				}
			]
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		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC",
			"code_information": [
				{
					"code": "216",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 127890,
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						},
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							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						},
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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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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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": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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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": "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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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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 Health Inc Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
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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": "AMERICAS CHOICE PROVIDER NETWORK ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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						},
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							"payer_name": "AIDS Healthcare Foundation",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC",
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				{
					"code": "217",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						{
							"payer_name": "ZELIS HEALTHCARE",
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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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							"methodology": "case rate"
						},
						{
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						{
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						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"methodology": "case rate"
						},
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							"payer_name": "Wellcare",
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						{
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
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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": "PROVIDER SELECT",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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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"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 76704.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 76704.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 79077.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 92652,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 65897.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 85666.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "218",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 78941,
					"minimum": 60724.3,
					"maximum": 110032,
					"payers_information": [
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 71411.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 72869.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network 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": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 61938.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 94122.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 70683.1,
							"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": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 70847.8,
							"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": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 110032,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 72140.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 88657.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 70683.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 73969.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 70683.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 101776,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 72869.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 70683.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 78941.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 60724.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 61331.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 69225.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 85378.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 70683.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC",
			"code_information": [
				{
					"code": "219",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 102587,
					"minimum": 78913.2,
					"maximum": 142991,
					"payers_information": [
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 91855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 91855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 93748.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 102587,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 110952,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 91855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 79702.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 89440.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 91855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 132368,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 89961.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 115213,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 94695.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 122315,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 92801.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 92139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 94695.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 80491.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 94695.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 142991,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 78913.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 91855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXC BACK TUM DEEP 5 CM>",
			"code_information": [
				{
					"code": "21933",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 18696,
					"discounted_cash": 4615,
					"minimum": 609.08,
					"maximum": 14956.8,
					"payers_information": [
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 4217.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"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": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 5502.89,
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 609.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 14956.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
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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": "Molina",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"standard_charge_dollar": 639.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "MULTIPLAN",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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 Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "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": "Worker comp",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"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": "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": "Anthem Blue cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"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": "ZELIS HEALTHCARE",
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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": "PRIME HEALTH SERVICES",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
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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": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Wellcare",
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						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC",
			"code_information": [
				{
					"code": "220",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
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						},
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						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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							"standard_charge_dollar": 76045.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 54086.3,
							"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 Ins Exchange",
							"standard_charge_dollar": 78966,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": "Anthem Blue cross",
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							"standard_charge_dollar": 64903.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 62956.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 64903.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 54627.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 61658.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 62956.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 90612.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 55168.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 62956.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 63605.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 98004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 61962.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 62956.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 54086.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2201",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12420.2,
					"maximum": 13289.6,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 12420.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12420.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12420.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12420.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 12420.2,
							"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": "AIDS Healthcare Foundation",
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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"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2202",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17353.6,
					"maximum": 18568.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
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						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2203",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 26038.4,
					"maximum": 27861.1,
					"payers_information": [
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							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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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",
							"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": "Health Net Of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2204",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 48435.6,
					"maximum": 51826,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
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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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Health Net Of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Blue Shield Of Promise",
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						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "221",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 61001,
					"minimum": 46924.5,
					"maximum": 85027.2,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Molina",
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						},
						{
							"payer_name": "USA Senior Care Network",
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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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							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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 FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
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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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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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							"standard_charge_dollar": 55183.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2221",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 6879.86,
					"payers_information": [
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 6429.78,
							"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": "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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 6429.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 6429.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2222",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11157,
					"maximum": 11938,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11938,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11157,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2223",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16434.8,
					"maximum": 17585.2,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise 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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16434.8,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17585.2,
							"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": 34539.6,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted 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": "Traditional Medi-Cal",
							"plan_name": "Traditional 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": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 34539.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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"
						}
					]
				}
			]
		},
		{
			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2231",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10379.3,
					"maximum": 11105.9,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"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": 10379.3,
							"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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11105.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "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 IPA",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"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": 13791.9,
					"payers_information": [
						{
							"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": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13791.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 12889.6,
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 12889.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12889.6,
							"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": 18764.3,
					"payers_information": [
						{
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 17536.8,
							"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"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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",
							"standard_charge_dollar": 18764.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 17536.8,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"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"
						}
					]
				}
			]
		},
		{
			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2234",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 31871.7,
					"maximum": 34102.7,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"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 IPA",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"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": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"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": "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": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 34102.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 31871.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
				{
					"code": "2241",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11883.7,
					"maximum": 12715.5,
					"payers_information": [
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12715.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11883.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
				{
					"code": "2242",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13955.5,
					"maximum": 14932.4,
					"payers_information": [
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13955.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14932.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
				{
					"code": "2243",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19534.6,
					"maximum": 20902,
					"payers_information": [
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							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "case rate"
						},
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							"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",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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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"
						},
						{
							"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",
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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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			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
				{
					"code": "2244",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 36249.9,
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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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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"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 IPA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
				{
					"code": "2261",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 7235.43,
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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"
						},
						{
							"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"
						},
						{
							"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",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
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					"code": "2262",
					"type": "APR-DRG"
				}
			],
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					"maximum": 9123.54,
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"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": "Anthem Blue cross",
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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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						}
					]
				}
			]
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			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
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					"code": "2263",
					"type": "APR-DRG"
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			],
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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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": "L.A 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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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
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			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
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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 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": "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",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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"
						},
						{
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					]
				}
			]
		},
		{
			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
				{
					"code": "2271",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 10599.3,
					"payers_information": [
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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",
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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": "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 IPA",
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						}
					]
				}
			]
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		{
			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
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					"code": "2272",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 12083.9,
					"maximum": 12929.7,
					"payers_information": [
						{
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							"plan_name": "Aids Health Care Foundation Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Non-Contracted Medi-Cal",
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							"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"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12929.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 12083.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
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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 IPA",
							"standard_charge_dollar": 12083.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
				{
					"code": "2273",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 16771.1,
					"maximum": 17945.1,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16771.1,
							"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",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 16771.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 16771.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 16771.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17945.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16771.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 16771.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 16771.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
				{
					"code": "2274",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 31983.8,
					"maximum": 34222.6,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 34222.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 31983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "228",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 66168,
					"minimum": 50898.6,
					"maximum": 92228.2,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 59245.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 59245.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 60467.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 66168.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 58024.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 85250.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 59856.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 74311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 92228.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 51916.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 71563.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 75118.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 51407.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 58024.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 59245.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 59245.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 61078.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 59245.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 61078.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 78892.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 61078.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 50898.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 59341.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2281",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7883.09,
					"maximum": 8434.91,
					"payers_information": [
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8434.91,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2282",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10021,
					"maximum": 10722.5,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10722.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2283",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13727.3,
					"maximum": 14688.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14688.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2284",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25658.1,
					"maximum": 27454.1,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 27454.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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 IPA",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC",
			"code_information": [
				{
					"code": "229",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 41348,
					"minimum": 31806.5,
					"maximum": 57633.3,
					"payers_information": [
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 37022.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 38167.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 37022.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 37022.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 49918.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 36990.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 37404.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 36259.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 32124.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 57633.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 38167.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 36259.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 41348.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 46437.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 53140.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 38167.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medicare",
							"standard_charge_dollar": 32442.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 49300,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 44719.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 37786.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 37022.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 37022.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 31806.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXC ABDL TUM DEEP 5 CM>",
			"code_information": [
				{
					"code": "22901",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 21816,
					"discounted_cash": 4615,
					"minimum": 543.19,
					"maximum": 17452.8,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 17452.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross 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",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 581.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 543.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
							"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": 543.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 4175.09,
							"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": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 543.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
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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": 3621.26,
							"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": "Traditional Medicare",
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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": 543.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"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": 17452.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 570.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"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": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"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": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 543.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 4132.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 6544.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4260.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
							"standard_charge_dollar": 5502.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "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": 543.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 17452.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 4217.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network 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 IPA",
							"standard_charge_dollar": 543.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 5325.38,
							"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": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 4047.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2291",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9830.84,
					"maximum": 10519,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10519,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2292",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13447.1,
					"maximum": 14388.4,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan 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": 14388.4,
							"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"
						},
						{
							"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": "Molina",
							"plan_name": "Molina Medi-Cal",
							"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": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2293",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20203.2,
					"maximum": 21617.4,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21617.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2294",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34572.1,
					"maximum": 36992.1,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 36992.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2301",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11487.3,
					"maximum": 12291.4,
					"payers_information": [
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12291.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2302",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15723.1,
					"maximum": 16823.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16823.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2303",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22853.5,
					"maximum": 24453.3,
					"payers_information": [
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 24453.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2304",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40754.7,
					"maximum": 43607.5,
					"payers_information": [
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 41388,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 40754.7,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
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						}
					]
				}
			]
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			"description": "CORONARY BYPASS WITH PTCA WITH MCC",
			"code_information": [
				{
					"code": "231",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 112324,
					"minimum": 86403.6,
					"maximum": 156563,
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						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 103684,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Naphcare",
							"plan_name": "Naphcare Prison",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 98500.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 100574,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
							"standard_charge_dollar": 100574,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 103684,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 156563,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 87267.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
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							"standard_charge_dollar": 88131.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Exchange",
							"standard_charge_dollar": 100910,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 100574,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
							"standard_charge_dollar": 121483,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
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							"standard_charge_dollar": 102647,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 105374,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 144966,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 126149,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 103684,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "BLUE SHIELD OF CA, VA",
							"plan_name": "Blue Shield of CA, VA",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "USA Senior Care Network",
							"plan_name": "USA Senior Care Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Covered CA and Covered Direct",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 101611,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
							"standard_charge_dollar": 86403.6,
							"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": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 100574,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "ZELIS HEALTHCARE",
							"plan_name": "Zelis Healthcare Workers Compensation",
							"standard_charge_dollar": 98500.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 86403.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 100574,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2311",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 14116.4,
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							"payer_name": "L.A 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": "Anthem Blue cross",
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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",
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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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							"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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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2312",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 16124.5,
					"maximum": 17253.2,
					"payers_information": [
						{
							"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"
						},
						{
							"payer_name": "Anthem Blue cross",
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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 IPA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A 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": "Molina",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2313",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 22616.3,
					"maximum": 24199.5,
					"payers_information": [
						{
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 22616.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 22616.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 22616.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22616.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 22616.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 24199.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 22616.3,
							"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"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2314",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36263.6,
					"maximum": 38802.1,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield Of Promise",
							"plan_name": "Blue Shield Of Promise Medi-Cal",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Medi-Cal",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal IPA",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation Medi-Cal",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36263.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38802.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WITH PTCA WITHOUT MCC",
			"code_information": [
				{
					"code": "232",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 81049,
					"minimum": 62345.7,
					"maximum": 112970,
					"payers_information": [
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 71074.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 72570.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 62345.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct Healthcare",
							"standard_charge_dollar": 81049.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 62345.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 62345.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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						},
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						},
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						},
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							"payer_name": "Naphcare",
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						},
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						},
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							"payer_name": "L.A Care Health Plan",
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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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						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
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						},
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						},
						{
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						},
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						},
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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": "PROVIDER NETWORK OF AMERICA",
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						},
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						},
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						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
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						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
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						},
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						},
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						},
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						},
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						},
						{
							"payer_name": "PRIME HEALTH SERVICES",
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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": "GASTRIC FUNDOPLICATION ",
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					"code": "2321",
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				}
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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": "L.A Care Health Plan",
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				}
			]
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					"code": "2322",
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				}
			],
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						},
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						},
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						},
						{
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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": "2323",
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				}
			],
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						},
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						},
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						},
						{
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						},
						{
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						},
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						{
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					]
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			"description": "GASTRIC FUNDOPLICATION ",
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					"code": "2324",
					"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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						},
						{
							"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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						}
					]
				}
			]
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					"code": "233",
					"type": "MS-DRG"
				}
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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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						},
						{
							"payer_name": "ZELIS HEALTHCARE",
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							"methodology": "case rate"
						},
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							"payer_name": "L.A Care Health Plan",
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						{
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							"methodology": "case rate"
						},
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							"payer_name": "USA Senior Care Network",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Commercial Enhanced PPO",
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							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTH NET FEDERAL SERVICES TRICARE ",
							"plan_name": "Health Net Federal Services Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "MULTIPLAN",
							"plan_name": "Multiplan Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AIDS Healthcare Foundation",
							"plan_name": "Aids Health Care Foundation MSSP",
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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": "PRIME HEALTH SERVICES",
							"plan_name": "Prime Health Services Workers Compensation",
							"standard_charge_dollar": 92789.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Workers Compensation - Non-Contracted ",
							"standard_charge_dollar": 95658.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Wellcare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "L.A Care Health Plan",
							"plan_name": "L.A Care Health Plan Duals",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 88096,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " CA FOUNDATION FOR MEDICAL CENTER ",
							"plan_name": " CA Foundation for Medical Center Workers Compensation",
							"standard_charge_dollar": 95658.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare - Non-Contracted ",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Worker comp",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 133717,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health Plan Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER NETWORK OF AMERICA",
							"plan_name": "Provider Network of America Workers Compensation",
							"standard_charge_dollar": 95658.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Cal-Mediconnect",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "AMERICAS CHOICE PROVIDER NETWORK ",
							"plan_name": "Americas Choice Provider Network Workers Compensation",
							"standard_charge_dollar": 92789.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "HEALTHSMART PREFERRED NETWORK ",
							"plan_name": "Healthsmart Preferred Network Workers Compensation",
							"standard_charge_dollar": 93745.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "THREE RIVERS",
							"plan_name": "Three Rivers Workers Compensation",
							"standard_charge_dollar": 92789.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 92789.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "CORVEL",
							"plan_name": "Corvel Workers Compensation",
							"standard_charge_dollar": 90876,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "PROVIDER SELECT",
							"plan_name": "Provider Select Workers Compensation",
							"standard_charge_dollar": 94702.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payer Solutions Medicare",
							"standard_charge_dollar": 79715.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 116385,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2331",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9071.16,
					"maximum": 9706.14,
					"payers_information": [
						{
							"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": "Anthem Blue cross",
							"plan_name": "Anthem Blue Cross Medi-cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},