{
  "hospital_name": "Chino Valley Medical Center",
  "last_updated_on": "2026-03-17",
  "version": "3.0",
  "location_name": [
    "Chino Valley Medical Center"
  ],
  "hospital_address": [
    "5451 Walnut Avenue Chino, CA  91710"
  ],
  "license_information": {
    "license_number": "330928285",
    "state": "CA"
  },
  "attestation": {
    "attestation": "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",
    "confirm_attestation": true,
    "attester_name": "Gail Aviado"
  },
  "type_2_npi": [
    "1962407460"
  ],
  "standard_charge_information": [
    {
      "description": "ABDOMINAL PAIN - SOI : 3",
      "code_information": [
        {
          "code": "2513",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6680.75,
          "maximum": 9019.01,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6680.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6680.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7148.4,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9019.01,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6680.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6680.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6680.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABDOMINAL PAIN - SOI : 2",
      "code_information": [
        {
          "code": "2512",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5154.21,
          "maximum": 6958.18,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5154.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5154.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5515,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6958.18,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5154.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5154.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5154.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITHOUT D&C",
      "code_information": [
        {
          "code": "779",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9588,
          "minimum": 4997.6,
          "maximum": 36821.5898,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15760.12
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9170.67,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9588.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19177.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9588.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12465.47,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13424.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 4997.6
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11986.03,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9588.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17374.94,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13999.68,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9624.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9588.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11986.03,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9588.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14862.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15342.11,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9261.47,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9588.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9588.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5966.38
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16247.55
            }
          ]
        }
      ]
    },
    {
      "description": "ABDOMINAL PAIN - SOI : 1",
      "code_information": [
        {
          "code": "2511",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3970.07,
          "maximum": 5359.59,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3970.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3970.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4247.97,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5359.59,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3970.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3970.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3970.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 1",
      "code_information": [
        {
          "code": "5431",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4539.67,
          "maximum": 6128.55,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4539.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4539.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4857.45,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6128.55,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4539.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4539.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4539.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY",
      "code_information": [
        {
          "code": "770",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11271,
          "minimum": 8434.17,
          "maximum": 22542.86,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18140.66
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10771.45,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11271.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22542.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11271.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14652.86,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15780,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8434.17
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.29,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11271.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20423.83,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16456.29,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11304.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11271.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.29,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11271.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17470.72,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18034.29,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10878.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11271.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11271.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11102.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10664.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18701.72
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 4",
      "code_information": [
        {
          "code": "1934",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18754.23,
          "maximum": 25318.21,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18754.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18754.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20067.03,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25318.21,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18754.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18754.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18754.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABDOMINAL PAIN - SOI : 4",
      "code_information": [
        {
          "code": "2514",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10145.16,
          "maximum": 13695.97,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10145.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10145.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10855.32,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13695.97,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10145.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10145.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10145.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 4",
      "code_information": [
        {
          "code": "5434",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17669.85,
          "maximum": 23854.3,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17669.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17669.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18906.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23854.3,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17669.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17669.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17669.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 3",
      "code_information": [
        {
          "code": "5433",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9671.72,
          "maximum": 13056.82,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9671.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9671.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10348.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13056.82,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9671.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9671.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9671.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE LEUKEMIA - SOI : 1",
      "code_information": [
        {
          "code": "6901",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8594.23,
          "maximum": 11602.21,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8594.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8594.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9195.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11602.21,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8594.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8594.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8594.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY- SOI : 2",
      "code_information": [
        {
          "code": "5432",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5975.15,
          "maximum": 8066.45,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5975.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5975.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6393.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8066.45,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5975.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5975.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5975.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 3",
      "code_information": [
        {
          "code": "5643",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6403.11,
          "maximum": 8644.2,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6403.11,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6403.11,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6851.33,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8644.2,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6403.11,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6403.11,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6403.11,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 1",
      "code_information": [
        {
          "code": "5641",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2923.44,
          "maximum": 3946.64,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2923.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2923.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3128.08,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3946.64,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2923.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2923.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2923.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MAJOR EYE INFECTIONS WITH CCMCC",
      "code_information": [
        {
          "code": "121",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12945,
          "minimum": 6242.93,
          "maximum": 25891.4,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19610.8
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12364.42,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12945.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25891.4,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12945.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16829.41,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18123.98,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6242.93
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16182.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12945.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23457.61,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18900.72,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12976.52,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12945.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16182.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12945.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20065.84,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20713.12,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12486.84,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12945.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12945.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6279.84
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12242,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20217.32
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 2",
      "code_information": [
        {
          "code": "5642",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3745.55,
          "maximum": 5056.49,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3745.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3745.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4007.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5056.49,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3745.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3745.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3745.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ABORTION WO D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY - SOI : 4",
      "code_information": [
        {
          "code": "5644",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14390.43,
          "maximum": 19427.08,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14390.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14390.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15397.76,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19427.08,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14390.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14390.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14390.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "122",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9010,
          "minimum": 4027.01,
          "maximum": 18020.44,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11262.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9010.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13965.84,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14416.35,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8705.55,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9010.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9010.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 4027.01
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11789.38
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11435.7
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8620.2,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9010.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18020.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9010.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11713.29,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12614.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 4615.75
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11262.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9010.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16326.52,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13154.92,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8534.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9046.94,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9010.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 1",
      "code_information": [
        {
          "code": "7561",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3331.89,
          "maximum": 4498.05,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3331.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3331.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3565.12,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4498.05,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3331.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3331.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3331.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION - SOI : 1",
      "code_information": [
        {
          "code": "1901",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6639.41,
          "maximum": 8963.2,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6639.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6639.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7104.17,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8963.2,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6639.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6639.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6639.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 3",
      "code_information": [
        {
          "code": "1453",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6782.52,
          "maximum": 9156.4,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6782.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6782.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7257.3,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9156.4,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6782.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6782.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6782.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 3",
      "code_information": [
        {
          "code": "1933",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13200.37,
          "maximum": 17820.5,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13200.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13200.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14124.4,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17820.5,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13200.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13200.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13200.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION - SOI : 4",
      "code_information": [
        {
          "code": "1904",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15137.17,
          "maximum": 20435.18,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15137.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15137.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16196.77,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20435.18,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15137.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15137.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15137.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 1",
      "code_information": [
        {
          "code": "1931",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8140.51,
          "maximum": 10989.69,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8140.51,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8140.51,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8710.35,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10989.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8140.51,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8140.51,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8140.51,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE KIDNEY INJURY - SOI : 3",
      "code_information": [
        {
          "code": "4693",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8886.82,
          "maximum": 11997.21,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8886.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8886.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9508.9,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11997.21,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8886.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8886.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8886.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC",
      "code_information": [
        {
          "code": "288",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 29030,
          "minimum": 25600.0862,
          "maximum": 58061.18,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 46051.32
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27667.44,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 29030.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 58061.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29030.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 37739.77,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40642.83,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 33404.74
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 36288.24,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 29030.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52603.43,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 42384.66,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29037.11,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 29030.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 36288.24,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29030.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 44997.41,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 46448.94,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 27941.37,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29030.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29030.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 38891.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 47475.59
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC",
      "code_information": [
        {
          "code": "281",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10399,
          "minimum": 9843.88,
          "maximum": 20799.78,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15540.95
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9942.32,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10399.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20799.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10399.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13519.86,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.85,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13006.98
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12999.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10399.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18844.6,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15183.84,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10434.51,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10399.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12999.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10399.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16119.83,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16639.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10040.76,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10399.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10399.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 13358.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9843.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16021.6
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE & SUBACUTE ENDOCARDITIS - SOI : 2",
      "code_information": [
        {
          "code": "1932",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9819.71,
          "maximum": 13256.61,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9819.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9819.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10507.09,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13256.61,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9819.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9819.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9819.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE KIDNEY INJURY - SOI : 4",
      "code_information": [
        {
          "code": "4694",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17070.79,
          "maximum": 23045.57,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17070.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17070.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18265.75,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23045.57,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17070.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17070.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17070.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "290",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10510,
          "minimum": 9947.97,
          "maximum": 21020.8,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16505.31
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10047.45,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10510.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21020.8,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10510.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13663.52,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14714.56,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13979.57
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13138,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10510.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19044.84,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15345.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10544.85,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10510.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13138,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10510.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16291.12,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16816.64,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10146.93,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10510.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10510.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 14134.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17015.78
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION",
      "code_information": [
        {
          "code": "880",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10828,
          "minimum": 5936,
          "maximum": 21656.72,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16161.38
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10349.98,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10828.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21656.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10828.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14076.87,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15159.7,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8422.56
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13535.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10828.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19620.99,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15809.41,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10862.35,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10828.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13535.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10828.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16783.96,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17325.38,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10452.45,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10828.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10828.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8544.39
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10247.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16661.21
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE LEUKEMIA - SOI : 2",
      "code_information": [
        {
          "code": "6902",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15211.37,
          "maximum": 20535.35,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15211.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15211.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16276.17,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20535.35,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15211.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15211.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15211.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 4",
      "code_information": [
        {
          "code": "7564",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10975.22,
          "maximum": 14816.55,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10975.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10975.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11743.49,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14816.55,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10975.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10975.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10975.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE AND SUBACUTE ENDOCARDITIS WITH CC",
      "code_information": [
        {
          "code": "289",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 18612,
          "minimum": 10016.8,
          "maximum": 37225.56,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26582.14
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17756,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 18612.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37225.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18612.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 24196.61,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26057.89,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19036.36
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23265.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 18612.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33726.36,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27174.66,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18635.01,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 18612.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23265.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18612.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28849.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29780.45,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17931.8,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18612.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18612.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10016.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17580.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 27404.27
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE LEUKEMIA - SOI : 3",
      "code_information": [
        {
          "code": "6903",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 25746.65,
          "maximum": 34757.98,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25746.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25746.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27548.92,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34757.98,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25746.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25746.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25746.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 2",
      "code_information": [
        {
          "code": "1452",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4873.28,
          "maximum": 6578.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4873.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4873.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5214.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6578.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4873.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4873.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4873.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADRENAL PROCEDURES - SOI : 1",
      "code_information": [
        {
          "code": "4011",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10090.03,
          "maximum": 13621.54,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10090.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10090.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10796.33,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13621.54,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10090.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10090.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10090.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 2",
      "code_information": [
        {
          "code": "7562",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4969.75,
          "maximum": 6709.16,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4969.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4969.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5317.63,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6709.16,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4969.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4969.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4969.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC",
      "code_information": [
        {
          "code": "835",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 22562,
          "minimum": 18290.061,
          "maximum": 45125.7,
          "payers_information": [
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.06,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 22562.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28203.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22562.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34972.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36100.56,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 21727.02,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22562.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22562.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 26248.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 37123.6
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 36009.89
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21514.01,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 22562.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45125.7,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22562.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 29331.71,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31587.99,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 28864.42
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28203.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 22562.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40883.88,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32941.76,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21301,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE KIDNEY INJURY - SOI : 1",
      "code_information": [
        {
          "code": "4691",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4013.54,
          "maximum": 5418.28,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4013.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4013.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4294.49,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5418.28,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4013.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4013.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4013.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADRENAL PROCEDURES - SOI : 2",
      "code_information": [
        {
          "code": "4012",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13076.33,
          "maximum": 17653.05,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13076.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13076.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13991.67,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17653.05,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13076.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13076.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13076.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE ANXIETY & DELIRIUM STATES - SOI : 3",
      "code_information": [
        {
          "code": "7563",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7029.52,
          "maximum": 9489.85,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7029.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7029.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7521.59,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9489.85,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7029.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7029.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7029.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "834",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 58050,
          "minimum": 31282.8284,
          "maximum": 118451,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 93186.7
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55277.1,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 58050.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 116101.88,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 58050.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 75466.22,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 81271.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 98331.7
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 72563.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 58050.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 105188.3,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 84754.37,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58013.59,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 58050.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 72563.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 58050.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 89978.96,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 92881.5,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 55824.4,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 58050.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58050.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 118451
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54729.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 96068.76
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION - SOI : 3",
      "code_information": [
        {
          "code": "1903",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9493.2,
          "maximum": 12815.82,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9493.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9493.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10157.72,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12815.82,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9493.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9493.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9493.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AICD GENERATOR PROCEDURES",
      "code_information": [
        {
          "code": "245",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 48381,
          "minimum": 19350,
          "maximum": 96763.32,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 82388.28
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46077.82,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 48381.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 96763.32,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48381.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 62896.16,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 67734.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 58377.63
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 60477.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 48381.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 87667.57,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 70637.22,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48358.9,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 48381.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 60477.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 48381.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 74991.57,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 77410.66,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 46534.03,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48381.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48381.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 70554.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45621.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 84936.38
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 1",
      "code_information": [
        {
          "code": "1451",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3855.58,
          "maximum": 5205.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3855.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3855.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4125.47,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5205.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3855.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3855.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3855.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC",
      "code_information": [
        {
          "code": "283",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21468,
          "minimum": 10381.6156,
          "maximum": 42936.44,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32966.78
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20472.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21468.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42936.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21468.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 27908.69,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30055.51,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 26813.62
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26835.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21468.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38900.41,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31343.6,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21486.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21468.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26835.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21468.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33275.74,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34349.15,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.3,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21468.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21468.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 36780.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20269.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33986.37
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC",
      "code_information": [
        {
          "code": "280",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17541,
          "minimum": 13784.6618,
          "maximum": 35082.16,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 27672.94
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16736.41,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17541.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35082.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17541.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 22803.4,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24557.51,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17041.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21926.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17541.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31784.44,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25609.98,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17564.94,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17541.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21926.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17541.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27188.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28065.73,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16902.11,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17541.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17541.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19815.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16570.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28528.81
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS - SOI : 4",
      "code_information": [
        {
          "code": "1454",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10920.09,
          "maximum": 14742.12,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10920.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10920.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11684.5,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14742.12,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10920.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10920.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10920.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 2",
      "code_information": [
        {
          "code": "7552",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2936.48,
          "maximum": 3964.25,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2936.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2936.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3142.03,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3964.25,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2936.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2936.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2936.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 1",
      "code_information": [
        {
          "code": "7551",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2180.63,
          "maximum": 2943.85,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2180.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2180.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2333.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2943.85,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2180.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2180.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2180.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 1",
      "code_information": [
        {
          "code": "7721",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3856.64,
          "maximum": 5206.46,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3856.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3856.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4126.6,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5206.46,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3856.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3856.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3856.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE KIDNEY INJURY - SOI : 2",
      "code_information": [
        {
          "code": "4692",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5463.76,
          "maximum": 7376.08,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5463.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5463.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5846.22,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7376.08,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5463.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5463.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5463.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AICD LEAD PROCEDURES",
      "code_information": [
        {
          "code": "265",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 38538,
          "minimum": 18450,
          "maximum": 91913.7432,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 60140.68
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36712.89,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 38538.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 77076.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38538.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 50099.76,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53953.59,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 45529.65
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 48172.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 38538.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 69831.36,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 56265.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38530.36,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 38538.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 48172.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 38538.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 59734.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 61661.25,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 37076.39,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38538.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38538.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 51503.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36349.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 62000.7
            }
          ]
        }
      ]
    },
    {
      "description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 4",
      "code_information": [
        {
          "code": "7554",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8638.75,
          "maximum": 11662.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8638.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8638.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9243.46,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11662.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8638.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8638.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8638.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 3",
      "code_information": [
        {
          "code": "7753",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8305.88,
          "maximum": 11212.94,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8305.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8305.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8887.29,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11212.94,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8305.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8305.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8305.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE LEUKEMIA - SOI : 4",
      "code_information": [
        {
          "code": "6904",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 45078.63,
          "maximum": 60856.15,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45078.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45078.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48234.13,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60856.15,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45078.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45078.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45078.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 4",
      "code_information": [
        {
          "code": "7724",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18947.17,
          "maximum": 25578.68,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18947.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18947.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20273.47,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25578.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18947.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18947.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18947.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADRENAL AND PITUITARY PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "615",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15406,
          "minimum": 6750,
          "maximum": 52304.0252,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24159.45
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14705.1,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15406.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30812.04,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15406.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 20027.83,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21568.43,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20509.18
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19257.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15406.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27915.71,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22492.79,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15433.07,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15406.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19257.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15406.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23879.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24649.63,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 14850.69,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15406.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15406.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21444.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14559.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24906.65
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 4",
      "code_information": [
        {
          "code": "7754",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 19303.36,
          "maximum": 26059.54,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19303.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19303.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20654.6,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26059.54,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19303.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19303.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19303.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "836",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13531,
          "minimum": 10800,
          "maximum": 72054.8914,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21423.18
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12921.84,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13531.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27063.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13531.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 17591.07,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18944.23,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 29704.71
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16914.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13531.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24519.24,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19756.12,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13561.53,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13531.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16914.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13531.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20973.96,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21650.54,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13049.78,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13531.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13531.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 18346.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12793.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22085.75
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 2",
      "code_information": [
        {
          "code": "7752",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4746.07,
          "maximum": 6407.19,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4746.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4746.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5078.29,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6407.19,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4746.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4746.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4746.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AFTERCARE WITH CCMCC",
      "code_information": [
        {
          "code": "949",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13220,
          "minimum": 9414.2446,
          "maximum": 32086,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18191.24
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12626.21,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26441.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 17187.2,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18509.29,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19977.62
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16526.15,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23956.31,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19302.54,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13251.27,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16526.15,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20492.43,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21153.47,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 32086
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12501.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18753.86
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA",
      "code_information": [
        {
          "code": "894",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7249,
          "minimum": 4452,
          "maximum": 14498.84,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10521.92
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6944.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7249.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14498.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7249.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9424.25,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10149.19,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5056.79
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9061.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7249.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13135.95,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10584.15,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7288.8,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7249.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9061.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7249.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11236.6,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11599.07,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7013.75,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7249.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7249.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5018.15
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6876.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10847.34
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION - SOI : 2",
      "code_information": [
        {
          "code": "1902",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7316.81,
          "maximum": 9877.69,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7828.99,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9877.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC",
      "code_information": [
        {
          "code": "896",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 19011,
          "minimum": 10176,
          "maximum": 38022.04,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34447.97,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27756.09,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19032.62,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 19011.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23763.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19011.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 29467.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30417.63,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 18314.41,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19011.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19011.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 15248.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30951.69
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30023.14
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18134.85,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 19011.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38022.04,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19011.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 24714.33,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26615.43,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17955.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13760.22
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23763.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 19011.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",
      "code_information": [
        {
          "code": "560",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12557,
          "minimum": 11876.7,
          "maximum": 25115.78,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19197.74
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11995.47,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12557.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25115.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12557.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16325.26,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17581.05,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 18638.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15697.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12557.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22754.9,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18334.52,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12589.3,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12557.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15697.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12557.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19464.73,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20092.62,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12114.23,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12557.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12557.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 20287.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11876.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19791.49
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOLIC LIVER DISEASE - SOI : 3",
      "code_information": [
        {
          "code": "2803",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9753.98,
          "maximum": 13167.87,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9753.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9753.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10436.76,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13167.87,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9753.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9753.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9753.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CCMCC",
      "code_information": [
        {
          "code": "282",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8356,
          "minimum": 7650,
          "maximum": 29708.0384,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12224.72
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7998.32,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8356.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16713.14,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8356.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10863.54,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11699.2,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10186.69
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10445.71,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8356.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15142.1,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12200.59,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8394.28,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8356.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10445.71,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8356.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12952.68,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13370.51,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8077.51,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8356.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8356.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11982.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7919.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12602.8
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC",
      "code_information": [
        {
          "code": "897",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10021,
          "minimum": 6996,
          "maximum": 20042.92,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14873.32
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9582.28,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10021.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20042.92,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10021.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13027.9,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14030.04,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12526.83,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10021.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18158.89,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14631.33,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10056.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10021.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12526.83,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10021.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15533.26,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16034.34,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9677.16,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10021.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10021.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9487.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15333.32
            }
          ]
        }
      ]
    },
    {
      "description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",
      "code_information": [
        {
          "code": "559",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 20259,
          "minimum": 16889.2478,
          "maximum": 40519.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31296.02
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19323.12,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 20259.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40519.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20259.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 26337.94,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28363.93,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 31901.74
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25324.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 20259.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36711.03,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29579.53,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20279.71,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 20259.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25324.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20259.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 31402.92,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32415.92,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 19514.44,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20259.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20259.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 26801.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19131.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32263.93
            }
          ]
        }
      ]
    },
    {
      "description": "ALLERGIC REACTIONS - SOI : 2",
      "code_information": [
        {
          "code": "8112",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4082.45,
          "maximum": 5511.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4082.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4082.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4368.22,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5511.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4082.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4082.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4082.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC",
      "code_information": [
        {
          "code": "284",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8034,
          "minimum": 7200,
          "maximum": 16068.86,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12492.78
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7691.85,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8034.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16068.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8034.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10444.76,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11248.2,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9529.79
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10043.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8034.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14558.39,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11730.27,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8072.63,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8034.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10043.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8034.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12453.37,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12855.09,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7768,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8034.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8034.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10698.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7615.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12879.16
            }
          ]
        }
      ]
    },
    {
      "description": "ALLERGIC REACTIONS - SOI : 4",
      "code_information": [
        {
          "code": "8114",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15162.61,
          "maximum": 20469.52,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15162.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15162.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16223.99,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20469.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15162.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15162.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15162.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC",
      "code_information": [
        {
          "code": "561",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9198,
          "minimum": 8712.6,
          "maximum": 21369.1504,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13784.21
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8799.73,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9198.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18397.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9198.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11958.6,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12878.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 11726.82
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11498.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9198.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16668.44,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13430.42,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9235.36,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9198.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11498.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9198.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14258.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14718.27,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8886.85,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9198.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9198.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 12995.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14210.52
            }
          ]
        }
      ]
    },
    {
      "description": "ALLERGIC REACTIONS WITH MCC",
      "code_information": [
        {
          "code": "915",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 18349,
          "minimum": 9993.1674,
          "maximum": 36698.06,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 29299.87
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17505.02,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 18349.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36698.06,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18349.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23853.74,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25688.64,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14727.01
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22936.29,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 18349.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33248.44,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26789.58,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18371.6,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 18349.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22936.29,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18349.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28441,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29358.45,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17678.33,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18349.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18349.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 20028.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17331.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30206.05
            }
          ]
        }
      ]
    },
    {
      "description": "ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CCMCC",
      "code_information": [
        {
          "code": "285",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7061,
          "minimum": 5850,
          "maximum": 33187.5744,
          "payers_information": [
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 9757.57
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 9464.84
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6766.46,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7061.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14123.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7061.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9180.3,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9886.48,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6296.32
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7061.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12795.93,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10310.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7101.44,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7061.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7061.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10945.74,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11298.83,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 6833.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7061.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6699.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7061.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8106.05
            }
          ]
        }
      ]
    },
    {
      "description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 2",
      "code_information": [
        {
          "code": "0072",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 66446.01,
          "maximum": 89702.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66446.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66446.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 71097.23,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 89702.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66446.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66446.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66446.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 2",
      "code_information": [
        {
          "code": "7722",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4532.99,
          "maximum": 6119.54,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4532.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4532.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4850.3,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6119.54,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4532.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4532.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4532.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 4",
      "code_information": [
        {
          "code": "0074",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 149835.59,
          "maximum": 202278.05,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 149835.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 149835.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 160324.08,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 202278.05,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 149835.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 149835.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 149835.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADJUSTMENT DISORDERS & NEUROSES EXCEPT DEPRESSIVE DIAGNOSES - SOI : 3",
      "code_information": [
        {
          "code": "7553",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5442.55,
          "maximum": 7347.44,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5442.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5442.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5823.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7347.44,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5442.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5442.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5442.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL & DRUG DEPENDENCE W REHAB OR REHABDETOX THERAPY - SOI : 3",
      "code_information": [
        {
          "code": "7723",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6860.97,
          "maximum": 9262.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6860.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6860.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7341.24,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9262.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6860.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6860.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6860.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADRENAL AND PITUITARY PROCEDURES WITH CCMCC",
      "code_information": [
        {
          "code": "614",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 23667,
          "minimum": 12150,
          "maximum": 47335.82,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 38422.46
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22565.42,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 23667.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47335.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23667.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 30768.28,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33135.07,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 29098.87
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 29584.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 23667.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42886.25,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34555.15,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23682.52,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 23667.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29584.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23667.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 36685.26,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37868.66,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 22788.84,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23667.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23667.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 35362.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22342,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 39610.79
            }
          ]
        }
      ]
    },
    {
      "description": "ALTERATION IN CONSCIOUSNESS - SOI : 2",
      "code_information": [
        {
          "code": "0522",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6485.69,
          "maximum": 8755.68,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6485.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6485.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6939.69,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8755.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6485.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6485.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6485.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY",
      "code_information": [
        {
          "code": "895",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15575,
          "minimum": 7329.27,
          "maximum": 34200,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24410.66
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14866.8,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15575.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31151.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15575.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 20248.74,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21806.33,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7329.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19469.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15575.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28223.62,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22740.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15602.78,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15575.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19469.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15575.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24142.72,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24921.52,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15013.99,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15575.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15575.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9573.25
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14719.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25165.63
            }
          ]
        }
      ]
    },
    {
      "description": "ALTERATION IN CONSCIOUSNESS - SOI : 1",
      "code_information": [
        {
          "code": "0521",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4892.36,
          "maximum": 6604.69,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4892.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4892.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5234.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6604.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4892.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4892.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4892.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADRENAL PROCEDURES - SOI : 3",
      "code_information": [
        {
          "code": "4013",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 24086.53,
          "maximum": 32516.82,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24086.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24086.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25772.59,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32516.82,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24086.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24086.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24086.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALTERATION IN CONSCIOUSNESS - SOI : 4",
      "code_information": [
        {
          "code": "0524",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15262.26,
          "maximum": 20604.05,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15262.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15262.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16330.62,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20604.05,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15262.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15262.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15262.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOLIC LIVER DISEASE - SOI : 1",
      "code_information": [
        {
          "code": "2801",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4881.76,
          "maximum": 6590.38,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4881.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4881.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5223.48,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6590.38,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4881.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4881.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4881.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ADRENAL PROCEDURES - SOI : 4",
      "code_information": [
        {
          "code": "4014",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 45294.89,
          "maximum": 61148.1,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45294.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45294.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48465.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 61148.1,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45294.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45294.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45294.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOLIC LIVER DISEASE - SOI : 4",
      "code_information": [
        {
          "code": "2804",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 19238.69,
          "maximum": 25972.23,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19238.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19238.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20585.4,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25972.23,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19238.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19238.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19238.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AFTERCARE WITHOUT CCMCC",
      "code_information": [
        {
          "code": "950",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7362,
          "minimum": 6982.29,
          "maximum": 25616.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 9881.27
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7052.11,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7362.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14724.04,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7362.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9570.63,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10306.83,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15692.64
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9202.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7362.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13339.98,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10748.55,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7401.23,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7362.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9202.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7362.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11411.13,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11779.23,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7121.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7362.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7362.02,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 25616.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6982.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10186.87
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC",
      "code_information": [
        {
          "code": "617",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 20316,
          "minimum": 19184.8,
          "maximum": 40632.48,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32565.53
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19376.65,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 20316.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40632.48,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20316.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 26411.11,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28442.74,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20640.33
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25395.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 20316.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36813.03,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29661.71,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20335.89,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 20316.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25395.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20316.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 31490.17,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32505.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 19568.5,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20316.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20316.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19772.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19184.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33572.71
            }
          ]
        }
      ]
    },
    {
      "description": "ALLERGIC REACTIONS - SOI : 1",
      "code_information": [
        {
          "code": "8111",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2829.41,
          "maximum": 3819.7,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2829.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2829.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3027.47,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3819.7,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2829.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2829.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2829.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANAL AND PERINEAL PROCEDURES- SOI : 4",
      "code_information": [
        {
          "code": "2264",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 21704.49,
          "maximum": 29301.06,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21704.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21704.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23223.8,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29301.06,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21704.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21704.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21704.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALLERGIC REACTIONS - SOI : 3",
      "code_information": [
        {
          "code": "8113",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8023.9,
          "maximum": 10832.26,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8023.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8023.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8585.57,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10832.26,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8023.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8023.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8023.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOL ABUSE & DEPENDENCE - SOI : 1",
      "code_information": [
        {
          "code": "7751",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3288.43,
          "maximum": 4439.38,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3288.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3288.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3518.62,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4439.38,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3288.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3288.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3288.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANAL AND STOMAL PROCEDURES WITH CC",
      "code_information": [
        {
          "code": "348",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14462,
          "minimum": 13670.8,
          "maximum": 37373.5162,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21224.24
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13807.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14462.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28925.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14462.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 18801.32,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20247.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13806.64
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18078.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14462.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26206.14,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21115.32,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14491.05,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14462.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18078.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14462.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22416.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23140.08,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13944.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14462.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14462.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 17479
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13670.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21880.66
            }
          ]
        }
      ]
    },
    {
      "description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 3",
      "code_information": [
        {
          "code": "0073",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 89273.14,
          "maximum": 120518.74,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 89273.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 89273.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 95522.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 120518.74,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 89273.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 89273.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 89273.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC",
      "code_information": [
        {
          "code": "475",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 24542,
          "minimum": 19182.6,
          "maximum": 49085.16,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19182.6
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 30678.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.58,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44471.15,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.17,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24555.85,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.58,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 30678.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.58,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 38041,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39268.13,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 23629.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.58,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.58,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 27196.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 37495.55
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 36370.68
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23397.56,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.58,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 49085.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.58,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 31905.35,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34359.61,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23165.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALCOHOLIC LIVER DISEASE - SOI : 2",
      "code_information": [
        {
          "code": "2802",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6415.73,
          "maximum": 8661.24,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6415.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6415.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6864.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8661.24,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6415.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6415.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6415.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 2",
      "code_information": [
        {
          "code": "1982",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4834.06,
          "maximum": 6525.98,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4834.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4834.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5172.44,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6525.98,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4834.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4834.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4834.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "476",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13121,
          "minimum": 11191.3,
          "maximum": 26243.76,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19609.11
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12531.98,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13121.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26243.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13121.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 17058.44,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18370.63,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15162.24
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16402.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13121.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23776.85,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19157.94,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13152.37,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13121.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16402.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13121.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20338.91,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20995.01,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12656.06,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13121.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13121.88,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11191.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12407.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20215.58
            }
          ]
        }
      ]
    },
    {
      "description": "ALLERGIC REACTIONS WITHOUT MCC",
      "code_information": [
        {
          "code": "916",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7764,
          "minimum": 4980.19,
          "maximum": 23522.8632,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11196.3
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7434.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7764.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15528.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7764.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10093.75,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10870.19,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 4980.19
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9705.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7764.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14069.13,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11336.05,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7803.03,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7764.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9705.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7764.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12034.85,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12423.07,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7508.58,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7764.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7764.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5745.25
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7361.35,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11542.57
            }
          ]
        }
      ]
    },
    {
      "description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 3",
      "code_information": [
        {
          "code": "0593",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10738.81,
          "maximum": 14497.39,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10738.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10738.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11490.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14497.39,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10738.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10738.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10738.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 1",
      "code_information": [
        {
          "code": "3051",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9407.33,
          "maximum": 12699.9,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9407.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9407.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10065.84,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12699.9,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9407.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9407.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9407.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALLOGENEIC BONE MARROW TRANSPLANT",
      "code_information": [
        {
          "code": "014",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 126105,
          "minimum": 118836,
          "maximum": 252211.98,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 220887.87
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 120024.36,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 126105.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 252211.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 126105.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 163937.79,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 176548.39,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 183150.39
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 157632.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 126105.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 228504.05,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 184114.75,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 125966.16,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 126105.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 157632.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 126105.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 195464.28,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 201769.58,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 121212.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 126105.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 126105.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 152773
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 118836,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 227719.45
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 2",
      "code_information": [
        {
          "code": "5472",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8566.24,
          "maximum": 11564.42,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8566.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8566.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9165.88,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.42,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8566.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8566.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8566.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 4",
      "code_information": [
        {
          "code": "3054",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 31219.94,
          "maximum": 42146.92,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31219.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31219.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33405.34,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42146.92,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31219.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31219.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31219.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ALLOGENEIC BONE MARROW TRANSPLANT- SOI : 1",
      "code_information": [
        {
          "code": "0071",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 55309.66,
          "maximum": 74668.04,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55309.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55309.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 59181.34,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74668.04,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55309.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55309.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55309.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 4",
      "code_information": [
        {
          "code": "5474",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 25639.21,
          "maximum": 34612.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25639.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25639.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27433.95,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34612.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25639.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25639.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25639.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "616",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 37174,
          "minimum": 28050.7594,
          "maximum": 74349.34,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 65161.4
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35415.65,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 37174.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 74349.34,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 37174.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 48327.07,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52044.54,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 61132.92
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 46468.34,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 37174.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 67360.5,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 54275.02,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37168.9,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 37174.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 46468.34,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 37174.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 57620.74,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 59479.47,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 35766.3,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37174.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37174.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 31936.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35065,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 67176.7
            }
          ]
        }
      ]
    },
    {
      "description": "ALTERATION IN CONSCIOUSNESS - SOI : 3",
      "code_information": [
        {
          "code": "0523",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9100.96,
          "maximum": 12286.3,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9100.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9100.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9738.03,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12286.3,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9100.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9100.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9100.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 2",
      "code_information": [
        {
          "code": "5662",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3248.78,
          "maximum": 4385.85,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3248.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3248.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3476.19,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4385.85,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3248.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3248.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3248.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANAL AND PERINEAL PROCEDURES- SOI : 1",
      "code_information": [
        {
          "code": "2261",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6668.03,
          "maximum": 9001.84,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6668.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6668.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7134.79,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9001.84,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6668.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6668.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6668.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 3",
      "code_information": [
        {
          "code": "5663",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6022.96,
          "maximum": 8131,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6022.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6022.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6444.57,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8131,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6022.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6022.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6022.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "474",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 45572,
          "minimum": 42975.1,
          "maximum": 91144.18,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 75609.14
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43404.85,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 45572.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 91144.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45572.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 59243.72,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 63800.93,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 55431.99
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 56965.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 45572.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 82576.63,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 66535.25,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45553.61,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 45572.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 56965.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 45572.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 70636.74,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 72915.34,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 43834.6,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45572.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45572.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 75030.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42975.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 77947.57
            }
          ]
        }
      ]
    },
    {
      "description": "ANES 1ST 60 MIN",
      "code_information": [
        {
          "code": "Z7506",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11987.6,
          "minimum": 146.17,
          "maximum": 11987.6,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.48
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 156.4
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 211.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 11987.6,
          "minimum": 146.17,
          "maximum": 11987.6,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 153.48
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 156.4
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 211.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.17
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 3",
      "code_information": [
        {
          "code": "2333",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15997.97,
          "maximum": 21597.26,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15997.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15997.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17117.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21597.26,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15997.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15997.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15997.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 2",
      "code_information": [
        {
          "code": "3052",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12581.27,
          "maximum": 16984.71,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12581.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12581.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13461.96,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16984.71,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12581.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12581.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12581.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 2",
      "code_information": [
        {
          "code": "0592",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7339.07,
          "maximum": 9907.74,
          "payers_information": [
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7339.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7339.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7339.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7339.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7339.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7852.8,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9907.74,
              "additional_payer_notes": "135% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC",
      "code_information": [
        {
          "code": "240",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 30534,
          "minimum": 20763.2312,
          "maximum": 61069.86,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 49097.81
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29098.61,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 30534.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 61069.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30534.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 39695.41,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42748.9,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 42307.79
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 38168.66,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 30534.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 55329.29,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 44581,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 30539.13,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 30534.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 38168.66,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 30534.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 47329.14,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48855.89,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 29386.71,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30534.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 30534.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 27106.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28810.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 50616.3
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 4",
      "code_information": [
        {
          "code": "2344",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 21609.08,
          "maximum": 29172.26,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21609.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21609.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23121.72,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29172.26,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21609.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21609.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21609.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANAL AND PERINEAL PROCEDURES- SOI : 2",
      "code_information": [
        {
          "code": "2262",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8216.84,
          "maximum": 11092.73,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8216.84,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8216.84,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8792.02,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11092.73,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8216.84,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8216.84,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8216.84,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 4",
      "code_information": [
        {
          "code": "0594",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16561.94,
          "maximum": 22358.62,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16561.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16561.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17721.28,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22358.62,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16561.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16561.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16561.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC",
      "code_information": [
        {
          "code": "239",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 52127,
          "minimum": 42751.799,
          "maximum": 104254.78,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 84918.87
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49641.5,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 52127.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 104254.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52127.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 67765.61,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 72978.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 50146.57
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 65159.24,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 52127.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 94454.83,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 76105.99,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 52099,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 52127.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 65159.24,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 52127.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 80797.45,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 83403.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 50133,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52127.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 52127.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 51474.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49150,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 87545.23
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDIX PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "397",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 25785,
          "minimum": 22950,
          "maximum": 51570.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 41774.1
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24579.87,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 25785.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 51570.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25785.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 33520.83,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36099.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 26581.5
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 32231.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 25785.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 46722.87,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 37646.47,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25796.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 25785.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32231.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25785.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 39967.14,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41256.4,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 24823.23,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25785.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25785.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 37831.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24336.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 43066.09
            }
          ]
        }
      ]
    },
    {
      "description": "ANAL AND PERINEAL PROCEDURES- SOI : 3",
      "code_information": [
        {
          "code": "2263",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12875.97,
          "maximum": 17382.56,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12875.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12875.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13777.29,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17382.56,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12875.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12875.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12875.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 3",
      "code_information": [
        {
          "code": "5473",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13219.02,
          "maximum": 17845.68,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13219.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13219.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14144.35,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17845.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13219.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13219.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13219.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CCMCC",
      "code_information": [
        {
          "code": "241",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15250,
          "minimum": 14413.2,
          "maximum": 47885.6144,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19063.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15250.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27634.25,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22266.01,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15277.99,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15250.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19063.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15250.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23638.57,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24401.1,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 14701.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15250.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15250.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21800
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26243.23
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25455.94
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14557.33,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15250.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30501.38,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15250.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 19825.9,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21350.97,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14413.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17958.15
            }
          ]
        }
      ]
    },
    {
      "description": "ASTHMA - SOI : 1",
      "code_information": [
        {
          "code": "1411",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3243.91,
          "maximum": 4379.28,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3243.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3243.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3470.98,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4379.28,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3243.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3243.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3243.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANAL AND STOMAL PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "349",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9894,
          "minimum": 7650,
          "maximum": 22864.451,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14851.4
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9461.28,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.27,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19788.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.27,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12862.55,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13851.98,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13147.41
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12367.84,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.27,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17928.42,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14445.63,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9929.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.27,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12367.84,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.27,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15336.12,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15830.83,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9554.95,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.27,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.27,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9599.27
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9367.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15310.73
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 1",
      "code_information": [
        {
          "code": "5661",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2268.08,
          "maximum": 3061.91,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2268.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2268.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2426.85,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3061.91,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2268.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2268.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2268.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION OF LOWER LIMB EXCEPT TOES - SOI : 3",
      "code_information": [
        {
          "code": "3053",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18500.87,
          "maximum": 24976.17,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18500.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18500.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19795.93,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24976.17,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18500.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18500.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18500.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ASTHMA - SOI : 4",
      "code_information": [
        {
          "code": "1414",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11195.72,
          "maximum": 15114.22,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11195.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11195.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11979.42,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15114.22,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11195.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11195.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11195.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 1",
      "code_information": [
        {
          "code": "1981",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3984.92,
          "maximum": 5379.64,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3984.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3984.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4263.86,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5379.64,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3984.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3984.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3984.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 1",
      "code_information": [
        {
          "code": "2331",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8727.8,
          "maximum": 11782.53,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8727.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8727.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9338.75,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11782.53,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8727.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8727.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8727.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "618",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15604,
          "minimum": 14746.1,
          "maximum": 43305.2252,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20991.58
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14893.56,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15604.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31208.2,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15604.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 20285.33,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21845.74,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14963.77
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19505.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15604.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28274.63,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22781.99,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15630.87,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15604.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19505.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15604.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24186.36,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24966.56,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15041.02,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15604.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15604.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 17977.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14746.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21640.8
            }
          ]
        }
      ]
    },
    {
      "description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 4",
      "code_information": [
        {
          "code": "1984",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10894.65,
          "maximum": 14707.78,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10894.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10894.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11657.28,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14707.78,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10894.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10894.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10894.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 2",
      "code_information": [
        {
          "code": "2332",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11244.48,
          "maximum": 15180.05,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11244.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11244.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12031.59,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15180.05,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11244.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11244.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11244.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANAL AND STOMAL PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "347",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 24750,
          "minimum": 13057.2588,
          "maximum": 49500.08,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 39902.72
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23594.91,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 24750.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 49500.08,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24750.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 32175.05,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34650.06,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 21958.78
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 30937.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 24750.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44847.07,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 36135.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24762.98,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 24750.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 30937.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24750.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 38362.56,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39600.06,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 23828.53,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24750.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24750.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 34171
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23361.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 41136.82
            }
          ]
        }
      ]
    },
    {
      "description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 3",
      "code_information": [
        {
          "code": "0083",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 42705.07,
          "maximum": 57651.84,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42705.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42705.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45694.42,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57651.84,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42705.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42705.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42705.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITHOUT O.R. PROCEDURE- SOI : 4",
      "code_information": [
        {
          "code": "5664",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13254.22,
          "maximum": 17893.2,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13254.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13254.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14182.02,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17893.2,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13254.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13254.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13254.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 3",
      "code_information": [
        {
          "code": "2343",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13392.24,
          "maximum": 18079.52,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13392.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13392.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14329.7,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18079.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13392.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13392.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13392.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANGINA PECTORIS",
      "code_information": [
        {
          "code": "311",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8135,
          "minimum": 5935.37,
          "maximum": 31273.8296,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11772.89
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7788.05,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8135.56,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16271.12,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8135.56,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10576.23,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11389.78,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5935.37
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10169.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8135.56,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14741.63,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11877.92,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8173.6,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8135.56,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10169.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8135.56,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12610.12,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13016.9,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7865.16,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8135.56,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8135.56,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8587.31
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7710.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12137
            }
          ]
        }
      ]
    },
    {
      "description": "Av Fuse Uppr Arm Cephalic",
      "code_information": [
        {
          "code": "36818",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 29250,
          "discounted_cash": 7121,
          "minimum": 407.3,
          "maximum": 29250,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9100.42,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 427.52
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 407.3
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10682.67,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7193,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14243.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9970.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10397.8,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 435.81
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7549.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 590.59
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 407.3
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11038.76,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7264.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6765.69,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 407.3
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 407.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9381.88,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS - SOI : 3",
      "code_information": [
        {
          "code": "1983",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6257.77,
          "maximum": 8447.99,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6257.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6257.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6695.81,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8447.99,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6257.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6257.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6257.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Av Fusion Direct Any Site",
      "code_information": [
        {
          "code": "36821",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 34767.4,
          "discounted_cash": 4041,
          "minimum": 623.2,
          "maximum": 34767.4,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4283.61,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5051.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.64
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 623.2
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6263.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4121.96,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3839.08,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 623.2
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 623.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5323.6,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5163.89,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 654.36
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 623.2
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6061.71,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4081.55,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8082.28,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5657.6,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5051.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5900.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 666.82
            }
          ]
        }
      ]
    },
    {
      "description": "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC",
      "code_information": [
        {
          "code": "268",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 72520,
          "minimum": 19325.35,
          "maximum": 145041.96,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 112411.42
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 69043.8,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 72520.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 145041.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 72520.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 94277.27,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 101529.37,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19325.35
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 90651.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 72520.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 131408.02,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 105880.63,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 72461.81,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 72520.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 90651.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 72520.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 112407.52,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 116033.57,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 69727.4,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 72520.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 72520.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19626.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 68360.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 115888.06
            }
          ]
        }
      ]
    },
    {
      "description": "ASTHMA - SOI : 2",
      "code_information": [
        {
          "code": "1412",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4806.49,
          "maximum": 6488.76,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4806.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4806.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5142.94,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6488.76,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4806.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4806.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4806.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Ankle arthroscopysurgery",
      "code_information": [
        {
          "code": "29897",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13375,
          "discounted_cash": 4187,
          "minimum": 375.28,
          "maximum": 13375,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 394.04
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6281.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8375.42,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 401.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 544.16
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6490.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 13375,
          "discounted_cash": 4187,
          "minimum": 375.28,
          "maximum": 13375,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 394.04
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6281.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8375.42,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 401.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 544.16
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6490.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 375.28
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "520",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 16392,
          "minimum": 9000,
          "maximum": 43047.2596,
          "payers_information": [
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16392.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 21309.91,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22949.14,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20931.64
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20490.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 16392.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29702.74,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23932.67,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16417.81,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 16392.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20490.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16392.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25407.97,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26227.58,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15798.27,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16392.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16392.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 22709.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24910.13
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24162.82
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15643.39,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 16392.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15488.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32784.48,
              "additional_payer_notes": "200.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 2",
      "code_information": [
        {
          "code": "2342",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9012.97,
          "maximum": 12167.51,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9012.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9012.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9643.88,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12167.51,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9012.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9012.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9012.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE - SOI : 1",
      "code_information": [
        {
          "code": "0591",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4225.56,
          "maximum": 5704.51,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4225.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4225.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4521.35,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5704.51,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4225.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4225.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4225.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 2",
      "code_information": [
        {
          "code": "0492",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11038.82,
          "maximum": 14902.41,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11038.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11038.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11811.54,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14902.41,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11038.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11038.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11038.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDIX PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "399",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12751,
          "minimum": 8550,
          "maximum": 29259.03,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18946.54
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12179.89,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25503.58,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16577.33,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17852.51,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 29259.03
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15939.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23106.24,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18617.61,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12782.86,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15939.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19765.27,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20402.86,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12300.49,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12751.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21880.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12059.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19532.52
            }
          ]
        }
      ]
    },
    {
      "description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 2",
      "code_information": [
        {
          "code": "0082",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 34562.44,
          "maximum": 46659.29,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34562.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34562.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36981.81,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 46659.29,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34562.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34562.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34562.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ANTEPARTUM WITH O.R. PROCEDURE- SOI : 1",
      "code_information": [
        {
          "code": "5471",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4360.09,
          "maximum": 5886.12,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4360.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4360.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4665.3,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5886.12,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4360.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4360.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4360.09,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BEHAVIORAL DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "7582",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4174.67,
          "maximum": 5635.8,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4174.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4174.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4466.9,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5635.8,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4174.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4174.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4174.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ASTHMA - SOI : 3",
      "code_information": [
        {
          "code": "1413",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6672.27,
          "maximum": 9007.56,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6672.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6672.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7139.33,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9007.56,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6672.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6672.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6672.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CCMCC",
      "code_information": [
        {
          "code": "017",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 57450,
          "minimum": 54164.2,
          "maximum": 114900.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 101761.37
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54705.84,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 57450.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 114900.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57450.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 74685.59,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 80430.63,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 79577.37
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 71813.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 57450.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 104100.22,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 83877.66,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57414.05,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 57450.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 71813.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 57450.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 89048.2,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 91920.72,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 55247.48,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 57450.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57450.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 87145.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54164.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 104908.63
            }
          ]
        }
      ]
    },
    {
      "description": "ANTERIOR COLPORRHAPHY, REPAIR CYSTOCELE",
      "code_information": [
        {
          "code": "57240",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 6402,
          "minimum": 617.8,
          "maximum": 6500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 648.69
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6466.47,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 661.05
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 895.81
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6082.33,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 6402,
          "minimum": 617.8,
          "maximum": 6500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 648.69
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6466.47,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 661.05
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 895.81
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6082.33,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 617.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BEHAVIORAL DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "7583",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6793.12,
          "maximum": 9170.71,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6793.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6793.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7268.64,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9170.71,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6793.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6793.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6793.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ATHEROSCLEROSIS WITHOUT MCC",
      "code_information": [
        {
          "code": "303",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7836,
          "minimum": 6776.72,
          "maximum": 23633.8484,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11336.23
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7503.39,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7836.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15672.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7836.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10187.27,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10970.9,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7029.83
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9795.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7836.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14199.48,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11441.09,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7874.85,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7836.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9795.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7836.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12146.36,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12538.18,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7577.68,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7836.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7836.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6776.72
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11686.83
            }
          ]
        }
      ]
    },
    {
      "description": "Av Fistula Revision Open",
      "code_information": [
        {
          "code": "36832",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 35750,
          "discounted_cash": 7121,
          "minimum": 886.49,
          "maximum": 35750,
          "payers_information": [
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6765.69,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 886.49
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 886.49
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9381.88,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9100.42,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 930.81
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 886.49
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10682.67,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7193,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14243.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9970.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10397.8,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 948.54
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7549.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1285.41
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 886.49
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11038.76,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7264.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC",
      "code_information": [
        {
          "code": "269",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 44845,
          "minimum": 5256.41,
          "maximum": 89690.92,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 70146.71
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42713.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 44845.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 89690.92,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44845.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 58299.1,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62783.64,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5256.41
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 56056.83,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 44845.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 81259.97,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 65474.37,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 44828.04,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 44845.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 56056.83,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 44845.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 69510.46,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 71752.74,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 43136.41,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44845.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 44845.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8921.59
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42290.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 72316.19
            }
          ]
        }
      ]
    },
    {
      "description": "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC",
      "code_information": [
        {
          "code": "409",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 23516,
          "minimum": 20700,
          "maximum": 47033.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 35345.63
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22421.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 23516.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47033.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23516.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 30571.78,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32923.45,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 23926.02
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 29395.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 23516.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42612.35,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34334.46,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23531.58,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 23516.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29395.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23516.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 36450.96,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37626.8,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 22643.59,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23516.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23516.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 35240.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22199.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 36438.8
            }
          ]
        }
      ]
    },
    {
      "description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 1",
      "code_information": [
        {
          "code": "0081",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 29173.95,
          "maximum": 39384.83,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29173.95,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29173.95,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31216.13,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39384.83,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29173.95,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29173.95,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29173.95,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS - SOI : 4",
      "code_information": [
        {
          "code": "2334",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 24117.27,
          "maximum": 32558.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24117.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24117.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25805.48,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32558.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24117.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24117.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24117.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC",
      "code_information": [
        {
          "code": "408",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 37989,
          "minimum": 33750,
          "maximum": 75979.84,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 59029.65
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36191.23,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 37989.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 75979.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 37989.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 49386.9,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53185.89,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 68477.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 47487.4,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 37989.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 68837.74,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 55465.28,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37982.87,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 37989.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 47487.4,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 37989.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 58884.38,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 60783.87,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 36549.56,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37989.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37989.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 75862.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35832.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 60855.31
            }
          ]
        }
      ]
    },
    {
      "description": "Av Fuse Uppr Arm Basilic",
      "code_information": [
        {
          "code": "36819",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 34125,
          "discounted_cash": 7121,
          "minimum": 780.21,
          "maximum": 34125,
          "payers_information": [
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7264.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6765.69,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 780.21
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 780.21
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9381.88,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9100.42,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 819.22
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 780.21
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10682.67,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7193,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14243.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9970.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10397.8,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 834.82
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7549.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1131.3
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 780.21
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11038.76,
              "additional_payer_notes": "155.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC",
      "code_information": [
        {
          "code": "519",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21670,
          "minimum": 14400,
          "maximum": 43340.94,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33244.96
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20665,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21670.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 43340.94,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21670.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 28171.61,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30338.66,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 25763.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27088.09,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21670.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39266.89,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31638.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21688.02,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21670.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27088.09,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21670.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33589.23,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34672.75,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20869.61,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21670.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21670.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 28986.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20460.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 34273.15
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS - SOI : 1",
      "code_information": [
        {
          "code": "2341",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7065.57,
          "maximum": 9538.52,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7065.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7065.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7560.16,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9538.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7065.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7065.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7065.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC",
      "code_information": [
        {
          "code": "478",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 26455,
          "minimum": 23400,
          "maximum": 52911.18,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 39427.28
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25217.58,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 26455.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52911.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26455.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 34392.27,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37037.83,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 29203.32
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33069.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 26455.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47937.53,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 38625.16,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26465.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 26455.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33069.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26455.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 41006.16,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42328.94,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 25467.26,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26455.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26455.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 25925.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 40646.68
            }
          ]
        }
      ]
    },
    {
      "description": "BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR",
      "code_information": [
        {
          "code": "518",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 39779,
          "minimum": 24300,
          "maximum": 79559.82,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 60423.92
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37894.19,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 39779.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 79559.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39779.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 51713.88,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 55691.87,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 41694.99
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 49724.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 39779.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 72081.2,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 58078.67,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39770.14,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 39779.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 49724.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 39779.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 61658.86,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 63647.86,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 38269.38,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39779.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39779.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 42862.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37519,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 62292.7
            }
          ]
        }
      ]
    },
    {
      "description": "APPENDIX PROCEDURES WITH CC",
      "code_information": [
        {
          "code": "398",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 16597,
          "minimum": 13500,
          "maximum": 34017.6,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25511.57
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15838.82,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 16597.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33195.22,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16597.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 21576.89,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23236.65,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 26351.7
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20747.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 16597.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30074.87,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24232.51,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16622.92,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 16597.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20747.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16597.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25726.3,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26556.18,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15995.64,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16597.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16597.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 34017.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15682,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26300.59
            }
          ]
        }
      ]
    },
    {
      "description": "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC",
      "code_information": [
        {
          "code": "477",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 36832,
          "minimum": 34742.9,
          "maximum": 73665.46,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 57979.31
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35090.33,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 36832.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 73665.46,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36832.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 47882.55,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 51565.82,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 37145.39
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 46040.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 36832.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 66740.91,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 53775.79,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36827.47,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 36832.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 46040.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 36832.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.73,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 58932.37,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 35437.76,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36832.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36832.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 58102.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34742.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 59772.49
            }
          ]
        }
      ]
    },
    {
      "description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 4",
      "code_information": [
        {
          "code": "0494",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 25716.97,
          "maximum": 34717.91,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25716.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25716.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27517.16,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34717.91,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25716.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25716.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25716.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 3",
      "code_information": [
        {
          "code": "0493",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15618.45,
          "maximum": 21084.91,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15618.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15618.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16711.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21084.91,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15618.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15618.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15618.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ARTHROSCOPY",
      "code_information": [
        {
          "code": "509",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17599.52,
          "maximum": 45301.459,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 29616.82
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17599.52
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 25362.6
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30532.81
            }
          ]
        }
      ]
    },
    {
      "description": "BIPOLAR DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "7531",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3406.1,
          "maximum": 4598.24,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3406.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3406.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3644.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4598.24,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3406.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3406.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3406.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC",
      "code_information": [
        {
          "code": "094",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 37508,
          "minimum": 35379.2,
          "maximum": 75016.56,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 61514.72
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35732.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 37508.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 75016.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 37508.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 48760.76,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52511.59,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 37329.93
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 46885.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 37508.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 67965,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 54762.09,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37501.95,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 37508.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 46885.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 37508.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 58137.83,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 60013.25,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 36086.78,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37508.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37508.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 42920.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35379.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 63417.24
            }
          ]
        }
      ]
    },
    {
      "description": "BEHAVIORAL DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "7581",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3371.12,
          "maximum": 4551.01,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3371.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3371.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3607.1,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4551.01,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3371.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3371.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3371.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ATHEROSCLEROSIS WITH MCC",
      "code_information": [
        {
          "code": "302",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13292,
          "minimum": 11324.9898,
          "maximum": 26585.7,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19612.48
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12694.69,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13292.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26585.7,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13292.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 17280.71,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18609.99,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14442.66
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16616.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13292.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24086.64,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19407.56,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13323.14,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13292.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16616.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13292.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20603.92,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21268.56,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12820.38,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13292.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13292.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16796.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12569,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20219.06
            }
          ]
        }
      ]
    },
    {
      "description": "BIPOLAR DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "7533",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7316.81,
          "maximum": 9877.69,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7828.99,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9877.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7316.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BEHAVIORAL AND DEVELOPMENTAL DISORDERS",
      "code_information": [
        {
          "code": "886",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 22453,
          "minimum": 9752,
          "maximum": 44906.78,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 12923.42
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28066.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 22453.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40685.54,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32781.95,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22469.77,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 22453.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28066.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22453.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34802.75,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35925.42,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 21621.86,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22453.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22453.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 15968.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31224.56
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30287.83
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21409.88,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 22453.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44906.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22453.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 29189.41,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31434.75,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21197.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BIPOLAR DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "7532",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4274.32,
          "maximum": 5770.33,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4274.32,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4274.32,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4573.52,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5770.33,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4274.32,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4274.32,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4274.32,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC",
      "code_information": [
        {
          "code": "461",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 58396,
          "minimum": 31950,
          "maximum": 116792.02,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 103460.79
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55605.45,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 58396.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 116792.02,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 58396.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 75914.81,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 81754.41,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 87840.93
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 72995.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 58396.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 105813.57,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 85258.17,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58358.19,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 58396.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 72995.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 58396.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 90513.82,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 93433.62,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 56156,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 58396.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58396.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 88600.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55054.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 106660.61
            }
          ]
        }
      ]
    },
    {
      "description": "BONE DISEASES AND ARTHROPATHIES WITHOUT MCC",
      "code_information": [
        {
          "code": "554",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9472,
          "minimum": 7234.56,
          "maximum": 19824.3564,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14070.82
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9059.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9472.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18944.12,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9472.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12313.68,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13260.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7653.08
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11840.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9472.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17163.37,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13829.21,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9508.08,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9472.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11840.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9472.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14681.69,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15155.3,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9149.29,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9472.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9472.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7234.56
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8969.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14506
            }
          ]
        }
      ]
    },
    {
      "description": "AUTOLOGOUS BONE MARROW TRANSPLANT OR T-CELL IMMUNOTHERAPY- SOI : 4",
      "code_information": [
        {
          "code": "0084",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 65108.16,
          "maximum": 87896.02,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 65108.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 65108.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 69665.73,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 87896.02,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 65108.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 65108.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 65108.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 4",
      "code_information": [
        {
          "code": "1324",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10990.06,
          "maximum": 14836.58,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10990.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10990.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11759.36,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14836.58,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10990.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10990.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10990.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BIPOLAR DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "7534",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13656.21,
          "maximum": 18435.88,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13656.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13656.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14612.14,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18435.88,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13656.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13656.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13656.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 1",
      "code_information": [
        {
          "code": "1321",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3163.34,
          "maximum": 4270.51,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3163.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3163.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3384.77,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4270.51,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3163.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3163.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3163.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "AUTOLOGOUS BONE MARROW TRANSPLANT WITH CCMCC",
      "code_information": [
        {
          "code": "016",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 62635,
          "minimum": 59048.7,
          "maximum": 125271.8,
          "payers_information": [
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62635.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 62635.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 65333.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 104908.63
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 101761.37
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59639.19,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 62635.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 125271.8,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 62635.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 81426.67,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 87690.26,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 62433.97
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 78294.88,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 62635.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 113496.25,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 91448.41,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 62591.62,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 62635.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 78294.88,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 62635.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59048.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 97085.65,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 100217.44,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 60229.67,
              "additional_payer_notes": "102.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 3",
      "code_information": [
        {
          "code": "1383",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6974.4,
          "maximum": 9415.44,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6974.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6974.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7462.61,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9415.44,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6974.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6974.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6974.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BONE DISEASES AND ARTHROPATHIES WITH MCC",
      "code_information": [
        {
          "code": "553",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14332,
          "minimum": 12449.8398,
          "maximum": 28664.48,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22018.31
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13683.48,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28664.48,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 18631.91,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20065.14,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17411.5
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17915.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25970.02,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20925.07,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14360.88,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17915.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22214.97,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22931.58,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13818.96,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 18856.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13548,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22699.29
            }
          ]
        }
      ]
    },
    {
      "description": "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CCMCC",
      "code_information": [
        {
          "code": "584",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 23135,
          "minimum": 15300,
          "maximum": 46270.38,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 34517.84
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22058.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 23135.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 46270.38,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23135.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 30075.75,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32389.27,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 42199.86
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28918.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 23135.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41920.96,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33777.38,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23150.61,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 23135.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28918.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23135.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 35859.54,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37016.3,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 22277,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23135.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23135.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 41594.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21840.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 35585.4
            }
          ]
        }
      ]
    },
    {
      "description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 4",
      "code_information": [
        {
          "code": "1384",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13157.96,
          "maximum": 17763.25,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13157.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13157.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14079.02,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17763.25,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13157.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13157.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13157.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 2",
      "code_information": [
        {
          "code": "1322",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4672.92,
          "maximum": 6308.44,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4672.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4672.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5000.02,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6308.44,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4672.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4672.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4672.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "585",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 20929,
          "minimum": 9900,
          "maximum": 41858.48,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33467.5
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19959.82,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 20929.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41858.48,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20929.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 27208.01,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29300.94,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 31840.23
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26161.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 20929.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37923.78,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 30556.69,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20947.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 20929.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26161.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20929.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 32440.32,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33486.78,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20157.44,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20929.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20929.24,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 39344
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 34502.58
            }
          ]
        }
      ]
    },
    {
      "description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 1",
      "code_information": [
        {
          "code": "0561",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4859.5,
          "maximum": 6560.33,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4859.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4859.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5199.66,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6560.33,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4859.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4859.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4859.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 3",
      "code_information": [
        {
          "code": "3633",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 22764.59,
          "maximum": 30732.2,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22764.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22764.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24358.11,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30732.2,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22764.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22764.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22764.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM - SOI : 1",
      "code_information": [
        {
          "code": "0491",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8313.3,
          "maximum": 11222.95,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8313.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8313.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8895.23,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11222.95,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8313.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8313.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8313.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 3",
      "code_information": [
        {
          "code": "0563",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10472.73,
          "maximum": 14138.19,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10472.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10472.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11205.82,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14138.19,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10472.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10472.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10472.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BRONCHITIS AND ASTHMA WITH CCMCC",
      "code_information": [
        {
          "code": "202",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10943,
          "minimum": 8760.3,
          "maximum": 27461.338,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16297.94
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10459.06,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10943.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21886.08,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10943.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14225.95,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.26,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8760.3
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13678.8,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10943.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19828.79,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15976.84,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10976.83,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10943.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13678.8,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10943.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16961.71,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17508.86,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10562.61,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10943.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10943.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9514.72
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10355.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16802
            }
          ]
        }
      ]
    },
    {
      "description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC",
      "code_information": [
        {
          "code": "095",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 27706,
          "minimum": 24750,
          "maximum": 55413.2,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 40415.24
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26407.76,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 55413.2,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 36018.58,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38789.24,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 25633.28
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34633.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 50204.36,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 40451.64,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27715.08,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34633.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 42945.23,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44330.56,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 26669.23,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 33130.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 41665.2
            }
          ]
        }
      ]
    },
    {
      "description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 2",
      "code_information": [
        {
          "code": "8422",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16502.58,
          "maximum": 22278.48,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16502.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16502.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17657.76,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22278.48,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16502.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16502.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16502.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 1",
      "code_information": [
        {
          "code": "3631",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9470.93,
          "maximum": 12785.76,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9470.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9470.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10133.9,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12785.76,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9470.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9470.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9470.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC",
      "code_information": [
        {
          "code": "096",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 27706,
          "minimum": 20433.2752,
          "maximum": 55413.2,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 40415.24
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26407.76,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 55413.2,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 36018.58,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38789.24,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 28466.33
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34633.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 50204.36,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 40451.64,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27715.08,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34633.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 42945.23,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44330.56,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 26669.23,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27706.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 25334
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26146.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 41665.2
            }
          ]
        }
      ]
    },
    {
      "description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 2",
      "code_information": [
        {
          "code": "3632",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16578.9,
          "maximum": 22381.52,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16578.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16578.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17739.42,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22381.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16578.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16578.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16578.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARREST & SHOCK - SOI : 1",
      "code_information": [
        {
          "code": "1961",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3610.7,
          "maximum": 4874.44,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3610.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3610.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3863.45,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4874.44,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3610.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3610.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3610.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BEHAVIORAL DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "7584",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 22778.37,
          "maximum": 30750.8,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22778.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22778.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24372.86,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30750.8,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22778.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22778.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22778.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 1",
      "code_information": [
        {
          "code": "1381",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2414.91,
          "maximum": 3260.13,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2414.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2414.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2583.95,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3260.13,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2414.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2414.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2414.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARREST, UNEXPLAINED WITHOUT CCMCC",
      "code_information": [
        {
          "code": "298",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 5562,
          "minimum": 4950,
          "maximum": 11125.28,
          "payers_information": [
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5340.2,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 5562.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11125.28,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5562.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 7231.43,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7787.7,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5664.95
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 6953.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 5562.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10079.5,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8121.45,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5604.57,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 5562.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 6953.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 5562.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 8622.09,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8900.22,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 5393.08,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 5562.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5562.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 7677.09
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 7446.78
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 5287.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BENIGN PROSTATIC HYPERTROPHY WITH MCC",
      "code_information": [
        {
          "code": "725",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13017,
          "minimum": 10828.556,
          "maximum": 26035.26,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21286.62
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12432.8,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13017.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26035.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13017.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16922.92,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18224.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15986.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16272.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13017.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23587.95,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19005.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13048.28,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13017.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16272.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13017.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20177.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20828.21,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12555.89,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13017.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13017.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 18229.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12309.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21944.97
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARREST & SHOCK - SOI : 4",
      "code_information": [
        {
          "code": "1964",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14134.31,
          "maximum": 19081.32,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14134.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14134.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15123.71,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19081.32,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14134.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14134.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14134.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BRONCHIOLITIS & RSV PNEUMONIA - SOI : 2",
      "code_information": [
        {
          "code": "1382",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3832.26,
          "maximum": 5173.55,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3832.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3832.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4100.52,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5173.55,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3832.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3832.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3832.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "2014",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13236.41,
          "maximum": 17869.15,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13236.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13236.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14162.96,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17869.15,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13236.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13236.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13236.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC",
      "code_information": [
        {
          "code": "726",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8345,
          "minimum": 5067.58,
          "maximum": 22240.5342,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12550.1
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7987.41,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8345.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16690.2,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8345.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10848.63,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11683.14,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9416.05
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10431.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8345.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15121.32,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12183.85,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8382.83,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8345.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10431.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8345.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12934.91,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13352.16,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8066.5,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8345.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8345.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5067.58
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7908.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12938.25
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARREST, UNEXPLAINED WITH CC",
      "code_information": [
        {
          "code": "297",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7427,
          "minimum": 5850,
          "maximum": 16010.365,
          "payers_information": [
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12243.02
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11875.73
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7114.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7427.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14855.38,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7427.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9656,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10398.77,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9385.87
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9284.61,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7427.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13458.97,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10844.43,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7466.81,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7427.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9284.61,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7427.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11512.92,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11884.3,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7185.04,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7427.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7427.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10170.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7044.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BRONCHITIS AND ASTHMA WITHOUT CCMCC",
      "code_information": [
        {
          "code": "203",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7803,
          "minimum": 5031.25,
          "maximum": 15606,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11744.23
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7471.66,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7803,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15606,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7803,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10143.9,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10924.2,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5031.25
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9753.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7803,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14139.04,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11392.38,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7841.54,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7803,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9753.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7803,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12094.65,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12484.8,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7545.63,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7803,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7803,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6149.78
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7397.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12107.45
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "308",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13370,
          "minimum": 10527.0962,
          "maximum": 26740,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20330.69
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12768.02,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13370,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26740,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13370,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 17381,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18718,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13542.02
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16712.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13370,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24226.44,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19520.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13400.1,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13370,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16712.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13370,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20723.5,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21392,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12894.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13370,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13370,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 12475.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12641.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20959.48
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARREST, UNEXPLAINED WITH MCC",
      "code_information": [
        {
          "code": "296",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17101,
          "minimum": 9000,
          "maximum": 34202.28,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 27622.36
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16317.86,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17101.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34202.28,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17101.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 22231.48,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23941.6,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 22586.67
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21376.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17101.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30987.27,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24967.66,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17125.68,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17101.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21376.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17101.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26506.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27361.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16479.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17101.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17101.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 29986.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16156.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28476.66
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE- SOI : 2",
      "code_information": [
        {
          "code": "1912",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9237.71,
          "maximum": 12470.91,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9884.35,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12470.91,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC",
      "code_information": [
        {
          "code": "462",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 28548,
          "minimum": 9900,
          "maximum": 57097.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 48281.81
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27209.2,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 28548.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 57097.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28548.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 37113.64,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39968.53,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 34183.51
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 35686.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 28548.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 51730.7,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 41681.47,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28556.19,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 28548.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 35686.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28548.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 44250.87,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45678.32,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 27478.6,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28548.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28548.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 30908.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26939.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 49775.07
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC",
      "code_information": [
        {
          "code": "309",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8487,
          "minimum": 6897.52,
          "maximum": 16975.86,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12464.12
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8123.29,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8487.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16975.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8487.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11034.31,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11883.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6897.52
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10609.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8487.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15380.13,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12392.38,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8525.43,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8487.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10609.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8487.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13156.29,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13580.69,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8203.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8487.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8487.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6905.49
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8042.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12849.61
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE- SOI : 3",
      "code_information": [
        {
          "code": "1913",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12200.69,
          "maximum": 16470.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12200.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12200.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13054.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16470.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12200.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12200.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12200.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CCMCC",
      "code_information": [
        {
          "code": "410",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17370,
          "minimum": 14850,
          "maximum": 34740.22,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26150.54
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16573.7,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17370.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34740.22,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17370.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 22581.14,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24318.15,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 28776.22
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21712.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17370.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31474.64,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25360.36,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17394.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17370.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21712.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17370.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26923.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27792.18,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16737.79,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17370.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17370.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 26962.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16409.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26959.32
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE- SOI : 1",
      "code_information": [
        {
          "code": "1911",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7807.64,
          "maximum": 10540.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7807.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7807.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8354.17,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10540.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7807.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7807.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7807.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS - SOI : 3",
      "code_information": [
        {
          "code": "1923",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15382.05,
          "maximum": 20765.77,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15382.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15382.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16458.79,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20765.77,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15382.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15382.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15382.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CCMCC",
      "code_information": [
        {
          "code": "479",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 20197,
          "minimum": 14850,
          "maximum": 40394.8,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 29938.84
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19263.63,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40394.8,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 26256.62,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28276.36,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 18026.63
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25246.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36597.69,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29488.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20217.27,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25246.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 31305.97,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32315.84,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 19454.36,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21784.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19072.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30864.78
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS - SOI : 4",
      "code_information": [
        {
          "code": "1924",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 25280.2,
          "maximum": 34128.27,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25280.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25280.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27049.81,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34128.27,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25280.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25280.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25280.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "306",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17246,
          "minimum": 11034.0286,
          "maximum": 34492.1,
          "payers_information": [
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26025.97
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25245.19
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16455.73,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17246.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34492.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17246.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 22419.87,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24144.47,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 11584.07
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21557.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17246.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31249.84,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25179.23,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17270.37,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17246.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21557.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17246.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26731.38,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27593.68,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16618.66,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17246.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17246.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21619.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16292.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD - SOI : 3",
      "code_information": [
        {
          "code": "1323",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7546.85,
          "maximum": 10188.25,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7546.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7546.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8075.13,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10188.25,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7546.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7546.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7546.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC",
      "code_information": [
        {
          "code": "307",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10338,
          "minimum": 8490.3678,
          "maximum": 20676.76,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15618.5
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9883.8,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10338.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20676.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10338.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13439.89,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14473.73,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10348.02
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12922.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10338.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18733.14,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15094.03,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10373.1,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10338.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12922.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10338.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16024.49,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16541.41,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9981.66,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10338.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10338.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11528.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9785.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16101.55
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC DEFIBRILLATOR IMPLANT WITH MCC",
      "code_information": [
        {
          "code": "276",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 63437,
          "minimum": 27900,
          "maximum": 126875.18,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 104433.57
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60401.94,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 63437.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 126875.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 63437.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 82468.87,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 88812.63,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 46482.51
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 79296.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 63437.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 114948.91,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 92618.88,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 63392.13,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 63437.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 79296.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 63437.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 98328.26,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 101500.14,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 60999.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 63437.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 63437.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 49004.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59803.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 107663.48
            }
          ]
        }
      ]
    },
    {
      "description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 2",
      "code_information": [
        {
          "code": "0562",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6725.27,
          "maximum": 9079.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6725.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6725.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7196.04,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9079.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6725.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6725.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6725.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT - SOI : 2",
      "code_information": [
        {
          "code": "1772",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14638.92,
          "maximum": 19762.54,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14638.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14638.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15663.64,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19762.54,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14638.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14638.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14638.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 3",
      "code_information": [
        {
          "code": "8423",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 32270.5,
          "maximum": 43565.18,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32270.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32270.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34529.44,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43565.18,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32270.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32270.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32270.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "2004",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15253.78,
          "maximum": 20592.6,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15253.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15253.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16321.54,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20592.6,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15253.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15253.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15253.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA - SOI : 4",
      "code_information": [
        {
          "code": "0564",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17996.26,
          "maximum": 24294.95,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17996.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17996.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19256,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24294.95,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17996.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17996.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17996.26,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT - SOI : 4",
      "code_information": [
        {
          "code": "1774",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 28401.14,
          "maximum": 38341.54,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28401.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28401.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30389.22,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38341.54,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28401.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28401.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28401.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "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": 53362,
          "minimum": 13950,
          "maximum": 106725.54,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 77428.26
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50816.84,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 53362.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 106725.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53362.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 69371.6,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 74707.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 47101.12
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 66703.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 53362.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 96693.34,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 77909.64,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53332.52,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 53362.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 66703.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 53362.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 82712.29,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 85380.43,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 51319.97,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53362.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53362.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 56755.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50313.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 79822.95
            }
          ]
        }
      ]
    },
    {
      "description": "BREAST PROCEDURES EXCEPT MASTECTOMY - SOI : 4",
      "code_information": [
        {
          "code": "3634",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 27154.46,
          "maximum": 36658.52,
          "payers_information": [
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29055.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36658.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC",
      "code_information": [
        {
          "code": "258",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 33574,
          "minimum": 21600,
          "maximum": 67149.78,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 47298.91
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31990.84,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 67149.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 43647.36,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47004.85,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 34893.8
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 41968.61,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 60837.7,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 49019.34,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.55,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 41968.61,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 52041.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53719.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 32307.58,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33574.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 40505.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31674.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 48761.77
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX - SOI : 1",
      "code_information": [
        {
          "code": "1631",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 31937.63,
          "maximum": 43115.8,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31937.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31937.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34173.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43115.8,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31937.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31937.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31937.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 1",
      "code_information": [
        {
          "code": "8421",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10311.59,
          "maximum": 13920.65,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10311.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10311.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11033.4,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13920.65,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10311.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10311.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10311.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC",
      "code_information": [
        {
          "code": "261",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 20526,
          "minimum": 13500,
          "maximum": 41053.66,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31992.31
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19577.03,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 20526.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41053.66,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20526.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 26684.88,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28737.56,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 24705.95
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25658.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 20526.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37194.62,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29969.17,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20546.19,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 20526.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25658.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20526.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 31816.59,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32842.93,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 19770.86,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20526.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20526.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 36083.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19383.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32981.76
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX - SOI : 2",
      "code_information": [
        {
          "code": "1632",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 36891.48,
          "maximum": 49803.5,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36891.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36891.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39473.88,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49803.5,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36891.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36891.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36891.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "BURNS WITH SKIN GRAFT EXCEPT EXTENSIVE 3RD DEGREE BURNS - SOI : 4",
      "code_information": [
        {
          "code": "8424",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 92524.47,
          "maximum": 124908.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 92524.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 92524.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 99001.18,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 124908.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 92524.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 92524.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 92524.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "2001",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3867.24,
          "maximum": 5220.77,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3867.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3867.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4137.95,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5220.77,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3867.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3867.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3867.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "2011",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3796.22,
          "maximum": 5124.9,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3796.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3796.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4061.96,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5124.9,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3796.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3796.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3796.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIOMYOPATHY - SOI : 2",
      "code_information": [
        {
          "code": "2052",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5360.93,
          "maximum": 7237.26,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5360.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5360.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5736.2,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7237.26,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5360.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5360.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5360.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARREST & SHOCK - SOI : 2",
      "code_information": [
        {
          "code": "1962",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4660.2,
          "maximum": 6291.27,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4660.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4660.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4986.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6291.27,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4660.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4660.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4660.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIOMYOPATHY - SOI : 1",
      "code_information": [
        {
          "code": "2051",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4035.8,
          "maximum": 5448.33,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4035.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4035.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4318.31,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5448.33,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4035.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4035.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4035.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "310",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 6719,
          "minimum": 5463,
          "maximum": 13439.66,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 9432.81
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6441.14,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 6719.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13439.66,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6719.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 8735.78,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9407.76,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5463
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 8399.79,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 6719.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12176.33,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9810.95,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6760.01,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 6719.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8399.79,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 6719.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10415.74,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10751.73,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 6504.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 6719.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6719.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5866.22
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 9724.54
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIOMYOPATHY - SOI : 3",
      "code_information": [
        {
          "code": "2053",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8170.19,
          "maximum": 11029.76,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8170.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8170.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8742.1,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11029.76,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8170.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8170.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8170.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARREST & SHOCK - SOI : 3",
      "code_information": [
        {
          "code": "1963",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7462.04,
          "maximum": 10073.75,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7462.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7462.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7984.38,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10073.75,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7462.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7462.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7462.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CAROTID ARTERY STENT PROCEDURES WITH CC",
      "code_information": [
        {
          "code": "035",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 25739,
          "minimum": 8550,
          "maximum": 51478.76,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 38351.66
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24536.23,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 25739.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 51478.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25739.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 33461.19,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36035.13,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 27680.6
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 32174.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 25739.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 46639.76,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 37579.49,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25750.9,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 25739.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32174.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25739.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 39896.04,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41183.01,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 24779.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25739.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25739.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 35757.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24293.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 39537.79
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE- SOI : 4",
      "code_information": [
        {
          "code": "1914",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18727.73,
          "maximum": 25282.44,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18727.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18727.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20038.67,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25282.44,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18727.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18727.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18727.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CAROTID ARTERY STENT PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "034",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 41170,
          "minimum": 21150,
          "maximum": 82341.22,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 65560.96
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39217.29,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 41170.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 82341.22,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41170.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 53521.79,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 57638.85,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 39044.15
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 51463.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 41170.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 74601.15,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 60109.09,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41158.74,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 41170.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 51463.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 41170.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 63814.45,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 65872.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 39605.58,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41170.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41170.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 56145.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 38829,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 67588.62
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "2012",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5121.34,
          "maximum": 6913.81,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5121.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5121.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5479.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6913.81,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5121.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5121.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5121.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CAROTID ARTERY STENT PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "036",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21072,
          "minimum": 5400,
          "maximum": 42144.12,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30904.88
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20095.77,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21072.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42144.12,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21072.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 27393.68,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29500.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 25576.41
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26340.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21072.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38182.57,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 30765.21,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21090.61,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21072.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26340.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21072.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 32661.69,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33715.3,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20294.74,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21072.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21072.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 29275.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19896.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31860.7
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS - SOI : 2",
      "code_information": [
        {
          "code": "1922",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10796.06,
          "maximum": 14574.68,
          "payers_information": [
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10796.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10796.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10796.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10796.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11551.78,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14574.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10796.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "2013",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7540.49,
          "maximum": 10179.66,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7540.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7540.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8068.32,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10179.66,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7540.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7540.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7540.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC",
      "code_information": [
        {
          "code": "275",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 75153,
          "minimum": 37350,
          "maximum": 150306.62,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 119145.05
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71548.2,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 75153.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 150306.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 75153.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 97699.3,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 105214.63,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 60502.71
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 93941.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 75153.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 136177.8,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 109723.83,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75090.19,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 75153.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 93941.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 75153.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 116487.63,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 120245.3,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 72256.6,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 75153.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75153.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 84702.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70839.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 122829.94
            }
          ]
        }
      ]
    },
    {
      "description": "CELLULITIS & OTHER SKIN INFECTIONS - SOI : 3",
      "code_information": [
        {
          "code": "3833",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7731.31,
          "maximum": 10437.27,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7731.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7731.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8272.5,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10437.27,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7731.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7731.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7731.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS - SOI : 1",
      "code_information": [
        {
          "code": "1921",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8493.52,
          "maximum": 11466.25,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8493.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8493.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9088.07,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11466.25,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8493.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8493.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8493.52,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC",
      "code_information": [
        {
          "code": "277",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 48966,
          "minimum": 14850,
          "maximum": 97933,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 78428.02
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46634.23,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 48966.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 97933,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48966.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 63656.45,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 68553.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 54631.17
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 61208.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 48966.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 88727.3,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 71491.09,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48942.85,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 48966.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 61208.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 48966.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 75898.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 78346.4,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 47095.95,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48966.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48966.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 69687
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46172.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 80853.63
            }
          ]
        }
      ]
    },
    {
      "description": "CERVICAL SPINAL FUSION WITH MCC",
      "code_information": [
        {
          "code": "471",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 51157,
          "minimum": 31950,
          "maximum": 102315.72,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 81890.93
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48719.07,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 51157.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 102315.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 51157.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 66505.22,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 71621,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 48428.86
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 63947.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 51157.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 92698.04,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 74690.48,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 51130.9,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 51157.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 63947.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 51157.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 79294.68,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 81852.58,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 49201.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 51157.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 51157.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 57299
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48236.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 84423.64
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT - SOI : 1",
      "code_information": [
        {
          "code": "1771",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9740.2,
          "maximum": 13149.27,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9740.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9740.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10422.01,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13149.27,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9740.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9740.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9740.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT - SOI : 3",
      "code_information": [
        {
          "code": "1773",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18511.47,
          "maximum": 24990.48,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18511.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18511.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19807.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24990.48,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18511.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18511.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18511.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN DELIVERY - SOI : 4",
      "code_information": [
        {
          "code": "5404",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 21052.9,
          "maximum": 28421.42,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21052.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21052.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28421.42,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21052.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21052.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21052.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC",
      "code_information": [
        {
          "code": "259",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21898,
          "minimum": 10800,
          "maximum": 48785.4944,
          "payers_information": [
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 28468.4,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30658.28,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 24046.72
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27373.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39680.57,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31972.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21916.03,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27373.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33943.09,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35038.03,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 21089.01,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 25376.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30550.19
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 29633.68
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20882.26,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20675.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 43797.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CELLULITIS & OTHER SKIN INFECTIONS - SOI : 2",
      "code_information": [
        {
          "code": "3832",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5117.1,
          "maximum": 6908.09,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5117.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5117.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5475.3,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6908.09,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5117.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5117.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5117.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC",
      "code_information": [
        {
          "code": "260",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 34728,
          "minimum": 25650,
          "maximum": 76850.1,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 57426.33
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33088.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 34728.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 69457.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34728.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 45147.64,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48620.53,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 37090.84
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 43411.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 34728.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62928.86,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 50704.27,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34726.87,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 34728.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 43411.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34728.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 53829.87,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 55566.32,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 33416.42,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34728.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34728.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 76850.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32761.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 59202.4
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION- SOI : 3",
      "code_information": [
        {
          "code": "5393",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11858.17,
          "maximum": 16008.53,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11858.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11858.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12688.24,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16008.53,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11858.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11858.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11858.17,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "2002",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5660.93,
          "maximum": 7642.26,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5660.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5660.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6057.2,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7642.26,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5660.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5660.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5660.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CELLULITIS WITHOUT MCC",
      "code_information": [
        {
          "code": "603",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9897,
          "minimum": 7409.35,
          "maximum": 22078.5558,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14849.72
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9464.26,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9897.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19794.8,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9897.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12866.62,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13856.36,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7409.35
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12371.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9897.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17934.09,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14450.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9932.78,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9897.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12371.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9897.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15340.97,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15835.84,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9557.96,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9897.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9897.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.67
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9370.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15308.99
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC",
      "code_information": [
        {
          "code": "262",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17810,
          "minimum": 9000,
          "maximum": 45854.8852,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25589.13
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16992.24,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17810.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35620.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17810.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23153.07,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24934.07,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 26718.45
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22262.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17810.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32271.81,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26002.67,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17833.44,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17810.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22262.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17810.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27605.58,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28496.08,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17160.48,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17810.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17810.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21914.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16824,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26380.54
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY FOR ACUTE LEUKEMIA - SOI : 3",
      "code_information": [
        {
          "code": "6953",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16628.73,
          "maximum": 22448.79,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16628.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16628.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17792.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22448.79,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16628.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16628.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16628.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC",
      "code_information": [
        {
          "code": "217",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 69366,
          "minimum": 23400,
          "maximum": 138732.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 108876.01
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66042.49,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 138732.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 90176.24,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 97112.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 115816.32
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 86707.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 125691.81,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 101274.86,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 69311.92,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 86707.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 107517.83,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 110986.14,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 66696.37,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 68314.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 112243.31
            }
          ]
        }
      ]
    },
    {
      "description": "CERVICAL SPINAL FUSION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "473",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 26268,
          "minimum": 7200,
          "maximum": 52537.96,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 39912.83
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25040.02,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 26268.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52537.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26268.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 34149.67,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36776.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 26863.53
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 32836.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 26268.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47599.39,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 38352.71,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26279.63,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 26268.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32836.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26268.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 40716.92,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42030.37,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 25287.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26268.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26268.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 30644.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24792.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 41147.25
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC STRUCTURAL & VALVULAR DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "2003",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8622.85,
          "maximum": 11640.85,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8622.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8622.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9226.45,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11640.85,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8622.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8622.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8622.85,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "848",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9673,
          "minimum": 7216.69,
          "maximum": 40637.081,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13806.12
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9251.01,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9673.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19346.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9673.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12575.24,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13542.56,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7216.69
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12091.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9673.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17527.95,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14122.96,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9708.99,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9673.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12091.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9673.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14993.55,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15477.22,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9342.61,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9673.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9673.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9479.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9159.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14233.12
            }
          ]
        }
      ]
    },
    {
      "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": 80865,
          "minimum": 38250,
          "maximum": 161730.46,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 130449.24
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76982.4,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 80865.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 161730.46,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 80865.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 105124.8,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 113211.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 88738.08
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 101081.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 80865.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 146527.8,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 118063.24,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 80793.41,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 80865.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 101081.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 80865.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 125341.11,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 129384.37,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 77744.6,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 80865.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 80865.23,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 98944
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76220.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 134483.75
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN DELIVERY - SOI : 3",
      "code_information": [
        {
          "code": "5403",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9359.2,
          "maximum": 12634.92,
          "payers_information": [
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9359.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9359.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9359.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9359.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10014.34,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12634.92,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9359.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC",
      "code_information": [
        {
          "code": "216",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 102804,
          "minimum": 48150,
          "maximum": 205609.7,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 162711.3
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 97855.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 102804.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 205609.7,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 102804.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 133646.31,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 143926.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 116463.94
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 128506.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 102804.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 186282.39,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 150095.08,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 102699.9,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 102804.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 128506.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 102804.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 159347.52,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 164487.76,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 98824.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 102804.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 102804.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 149288
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 96886.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 167743.61
            }
          ]
        }
      ]
    },
    {
      "description": "CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES",
      "code_information": [
        {
          "code": "018",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 451003,
          "minimum": 55350,
          "maximum": 902006.38,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 635813.4
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 429128.8,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 451003.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 902006.38,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 451003.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 586304.15,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 631404.47,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 345355.21
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 563753.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 451003.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 817217.78,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 658464.66,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 450372.8,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 451003.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 563753.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 451003.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 699054.94,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 721605.1,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 433377.6,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 451003.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 451003.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 472450
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 424880,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 655477.73
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX - SOI : 1",
      "code_information": [
        {
          "code": "1621",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 38042.75,
          "maximum": 51357.71,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38042.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38042.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 40705.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 51357.71,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38042.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38042.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38042.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION WITH CC",
      "code_information": [
        {
          "code": "784",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11869,
          "minimum": 7540,
          "maximum": 23739.66,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18258.68
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11340.79,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11869.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23739.66,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11869.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 15430.78,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16617.76,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10361.94
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14837.29,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11869.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13628,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10275,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11902.21,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11869.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9000,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11869.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18398.24,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7540,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11453.07,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11869.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11869.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11945.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11228.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18823.38
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "218",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 69366,
          "minimum": 10350,
          "maximum": 138732.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 100301.35
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66042.49,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 138732.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 90176.24,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 97112.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 73388.98
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 86707.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 125691.81,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 101274.86,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 69311.92,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 86707.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 107517.83,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 110986.14,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 66696.37,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 69366.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 85895.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 65388.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 103403.45
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX - SOI : 2",
      "code_information": [
        {
          "code": "1622",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 44276.14,
          "maximum": 59772.79,
          "payers_information": [
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44276.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44276.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44276.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44276.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 47375.47,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 59772.79,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44276.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITHOUT STERILIZATION WITH CC",
      "code_information": [
        {
          "code": "787",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12460,
          "minimum": 7540,
          "maximum": 24921.86,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17901.26
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11903.15,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12460.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24921.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12460.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16199.21,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17445.3,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10603.35
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15576.16,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12460.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13628,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10275,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12492.42,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12460.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9000,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12460.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19314.44,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7540,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12021.01,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12460.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12460.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 17681.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11785.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18454.91
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC",
      "code_information": [
        {
          "code": "220",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 56413,
          "minimum": 25200,
          "maximum": 112826.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 89298.93
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53718.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 56413.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 112826.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 56413.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 73337.1,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 78978.41,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 61476.46
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 70516.44,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 56413.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 102220.63,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 82363.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 56378.33,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 56413.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 70516.44,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 56413.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 87440.38,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 90261.04,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 54250.84,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 56413.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 56413.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 68176.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 53187.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 92060.76
            }
          ]
        }
      ]
    },
    {
      "description": "Catheter For Hysterography",
      "code_information": [
        {
          "code": "58340",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 603.87,
          "minimum": 181.161,
          "maximum": 1298.15,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 279.31
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.01
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 284.63
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 385.71
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.01
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.01
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.01
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITHOUT STERILIZATION WITH MCC",
      "code_information": [
        {
          "code": "786",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 18014,
          "minimum": 7540,
          "maximum": 36028.76,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 27243.03
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17186.67,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 18014.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36028.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18014.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23418.69,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25220.13,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22517.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 18014.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13628,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10275,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18037.49,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 18014.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9000,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18014.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27922.29,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7540,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17356.83,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18014.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18014.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17016.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28085.6
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX - SOI : 3",
      "code_information": [
        {
          "code": "1623",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 57853.9,
          "maximum": 78102.77,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57853.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57853.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 61903.67,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 78102.77,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57853.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57853.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57853.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY WITH C.D.E. WITH MCC",
      "code_information": [
        {
          "code": "411",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 35255,
          "minimum": 25650,
          "maximum": 70510.82,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 46133.93
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33589.67,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 70510.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 45832.03,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 49357.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 39168.34
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 44069.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 63882.8,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 51472.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35252.53,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 44069.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 54645.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 56408.66,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 33922.24,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 39507.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33257.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 47560.76
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY FOR ACUTE LEUKEMIA - SOI : 4",
      "code_information": [
        {
          "code": "6954",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 39025.46,
          "maximum": 52684.37,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39025.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39025.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41757.24,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52684.37,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39025.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39025.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39025.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES W AMI OR COMPLEX PDX - SOI : 4",
      "code_information": [
        {
          "code": "1624",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 80771.14,
          "maximum": 109041.04,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 80771.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 80771.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 86425.12,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 109041.04,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 80771.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 80771.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 80771.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY WITH C.D.E. WITHOUT CCMCC",
      "code_information": [
        {
          "code": "413",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 18129,
          "minimum": 12600,
          "maximum": 36258.12,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28028.67
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17295.75,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 18129.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36258.12,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18129.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23567.78,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25380.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19448.38
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22661.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 18129.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32849.86,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26468.43,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18151.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 18129.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22661.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18129.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28100.04,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29006.5,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17466.99,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18129.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18129.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 24003.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17124.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28895.54
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC",
      "code_information": [
        {
          "code": "837",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 50903,
          "minimum": 31306.8252,
          "maximum": 101806.98,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 84418.15
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48477.07,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 50903.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 101806.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 50903.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 66174.54,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 71264.89,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 53681.79
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 63629.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 50903.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 92237.12,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 74319.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50876.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 50903.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 63629.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 50903.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 78900.41,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 81445.58,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 48957.04,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 50903.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50903.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 66179
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47997.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 87029.02
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX - SOI : 3",
      "code_information": [
        {
          "code": "1633",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 48537.74,
          "maximum": 65525.95,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48537.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48537.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 51935.38,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 65525.95,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48537.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48537.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48537.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY- SOI : 1",
      "code_information": [
        {
          "code": "2631",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9312.98,
          "maximum": 12572.52,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9312.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9312.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9964.89,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12572.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9312.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9312.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9312.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC",
      "code_information": [
        {
          "code": "847",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14456,
          "minimum": 11754.5,
          "maximum": 28912.6,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21423.18
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13801.55,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14456.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28912.6,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14456.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 18793.19,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20238.82,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 12582.2
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18070.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14456.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26194.82,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21106.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14484.79,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14456.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18070.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14456.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22407.27,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23130.08,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13938.2,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14456.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14456.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11754.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13664.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22085.75
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX - SOI : 4",
      "code_information": [
        {
          "code": "1634",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 71005.5,
          "maximum": 95857.43,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 71005.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 71005.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 75975.89,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 95857.43,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 71005.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 71005.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 71005.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY- SOI : 3",
      "code_information": [
        {
          "code": "2633",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16322.36,
          "maximum": 22035.19,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16322.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16322.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17464.93,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22035.19,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16322.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16322.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16322.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN DELIVERY - SOI : 2",
      "code_information": [
        {
          "code": "5402",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6800.75,
          "maximum": 9181.01,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6800.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6800.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7276.8,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9181.01,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6800.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6800.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6800.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEST PAIN - SOI : 2",
      "code_information": [
        {
          "code": "2032",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4785.29,
          "maximum": 6460.14,
          "payers_information": [
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4785.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4785.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4785.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5120.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6460.14,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4785.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4785.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CARDIOMYOPATHY - SOI : 4",
      "code_information": [
        {
          "code": "2054",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15093.7,
          "maximum": 20376.5,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15093.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15093.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16150.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20376.5,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15093.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15093.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15093.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC KIDNEY DISEASE - SOI : 1",
      "code_information": [
        {
          "code": "4701",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3852.4,
          "maximum": 5200.74,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3852.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3852.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4122.07,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5200.74,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3852.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3852.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3852.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION- SOI : 1",
      "code_information": [
        {
          "code": "5391",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5511.04,
          "maximum": 7439.9,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5511.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5511.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5896.81,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7439.9,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5511.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5511.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5511.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEST PAIN - SOI : 3",
      "code_information": [
        {
          "code": "2033",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6017.13,
          "maximum": 8123.13,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6017.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6017.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6438.33,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8123.13,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6017.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6017.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6017.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Carpal Tunnel Surgery",
      "code_information": [
        {
          "code": "64721",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 2499,
          "minimum": 454.46,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3193.58,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 477.18
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 454.46
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3748.83,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2524.21,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4998.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3498.91,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3124.03,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3648.86,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 486.27
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2649.17,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3124.03,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 658.97
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 454.46
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3873.79,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2549.2,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2374.26,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 454.46
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 454.46
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2499.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3292.35,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC KIDNEY DISEASE - SOI : 4",
      "code_information": [
        {
          "code": "4704",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14561.53,
          "maximum": 19658.07,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14561.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14561.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15580.84,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19658.07,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14561.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14561.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14561.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION- SOI : 4",
      "code_information": [
        {
          "code": "5394",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 24337.19,
          "maximum": 32855.21,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24337.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24337.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26040.79,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32855.21,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24337.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24337.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24337.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY- SOI : 2",
      "code_information": [
        {
          "code": "2632",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11931.43,
          "maximum": 16107.43,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11931.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11931.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12766.63,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16107.43,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11931.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11931.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11931.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC",
      "code_information": [
        {
          "code": "191",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9606,
          "minimum": 8399.35,
          "maximum": 19213.08,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14483.87
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9187.54,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9606.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19213.08,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9606.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12488.5,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13449.16,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8399.35
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12008.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9606.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17407.05,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14025.55,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9642.36,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9606.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12008.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9606.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14890.14,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15370.46,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9278.5,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9606.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9606.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10449.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9096.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14931.82
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "788",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10813,
          "minimum": 7540,
          "maximum": 21627.54,
          "payers_information": [
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10438.37,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10813.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10813.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 12922.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15724.39
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15252.66
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10336.04,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10813.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21627.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10813.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14057.9,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15139.28,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9783.96
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13517.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10813.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13628,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10275,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10847.72,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10813.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9000,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10813.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10233.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16761.34,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7540,
              "additional_payer_notes": "160.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC KIDNEY DISEASE - SOI : 3",
      "code_information": [
        {
          "code": "4703",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8182.91,
          "maximum": 11046.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8182.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8182.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8755.71,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11046.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8182.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8182.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8182.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC",
      "code_information": [
        {
          "code": "287",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11974,
          "minimum": 9450,
          "maximum": 40587.5876,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18371.64
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11439.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11974.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23948.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11974.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 15566.3,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16763.71,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14802.45
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14967.6,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11974.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21697.03,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17482.16,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12006.3,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11974.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14967.6,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11974.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18559.82,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19158.53,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11553.23,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11974.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11974.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 15766
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11326.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18939.83
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY FOR ACUTE LEUKEMIA - SOI : 1",
      "code_information": [
        {
          "code": "6951",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5846.45,
          "maximum": 7892.71,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5846.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5846.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6255.7,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7892.71,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5846.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5846.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5846.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE - SOI : 4",
      "code_information": [
        {
          "code": "1404",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12433.91,
          "maximum": 16785.78,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12433.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12433.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.28,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16785.78,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12433.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12433.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12433.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC",
      "code_information": [
        {
          "code": "432",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21336,
          "minimum": 20146.2,
          "maximum": 42673.72,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33029.16
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20347.66,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21336.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42673.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21336.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 27737.92,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29871.6,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 25146.98
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26671.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21336.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38662.39,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31151.82,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21354.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21336.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26671.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21336.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33072.13,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34138.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20549.12,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21336.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21336.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 25767.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20146.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 34050.68
            }
          ]
        }
      ]
    },
    {
      "description": "CHEST PAIN",
      "code_information": [
        {
          "code": "313",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8324,
          "minimum": 7650,
          "maximum": 16648.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12027.46
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7967.58,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8324.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16648.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8324.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10821.53,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11653.95,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7671.65
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10405.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8324.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15083.54,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12153.41,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8362.01,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8324.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10405.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8324.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12902.59,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13318.8,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8046.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8324.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8324.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8524.88
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7888.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12399.45
            }
          ]
        }
      ]
    },
    {
      "description": "CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC",
      "code_information": [
        {
          "code": "286",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 23886,
          "minimum": 16049.3598,
          "maximum": 47773.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 37314.81
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22773.68,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 23886.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47773.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23886.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 31052.89,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33441.58,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 22015.65
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 29858.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 23886.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 43282.95,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34874.79,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23901.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 23886.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29858.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23886.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 37024.6,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38218.94,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 22999.16,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23886.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23886.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 26513.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22548.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 38468.87
            }
          ]
        }
      ]
    },
    {
      "description": "CLEFT LIP & PALATE REPAIR - SOI : 1",
      "code_information": [
        {
          "code": "0951",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7198.08,
          "maximum": 9717.41,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7198.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7198.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7701.95,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9717.41,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7198.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7198.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7198.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEST PAIN - SOI : 1",
      "code_information": [
        {
          "code": "2031",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4004,
          "maximum": 5405.4,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4004,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4004,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4284.28,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5405.4,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4004,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4004,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4004,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC",
      "code_information": [
        {
          "code": "433",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11829,
          "minimum": 11190.2,
          "maximum": 23658.34,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18036.14
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11302.1,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11829.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23658.34,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11829.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 15377.92,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16560.84,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 12069.21
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14786.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11829.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21434.46,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17270.59,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11861.61,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11829.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14786.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11829.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18335.21,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18926.67,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11414,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11829.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11829.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 13128.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11190.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18593.95
            }
          ]
        }
      ]
    },
    {
      "description": "CELLULITIS & OTHER SKIN INFECTIONS - SOI : 1",
      "code_information": [
        {
          "code": "3831",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3744.27,
          "maximum": 5054.76,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3744.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3744.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4006.37,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5054.76,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3744.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3744.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3744.27,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CLEFT LIP & PALATE REPAIR - SOI : 4",
      "code_information": [
        {
          "code": "0954",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 19181.45,
          "maximum": 25894.96,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19181.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19181.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20524.15,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25894.96,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19181.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19181.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19181.45,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CELLULITIS & OTHER SKIN INFECTIONS - SOI : 4",
      "code_information": [
        {
          "code": "3834",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14332.55,
          "maximum": 19348.94,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15335.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19348.94,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14332.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC",
      "code_information": [
        {
          "code": "415",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 22363,
          "minimum": 20250,
          "maximum": 44727.46,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33349.49
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21324.64,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 22363.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44727.46,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22363.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 29072.85,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31309.22,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 37911.39
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27954.66,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 22363.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40523.08,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32651.05,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22380.31,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 22363.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27954.66,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22363.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34663.78,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35781.97,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 21535.77,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22363.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22363.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 29203.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21113.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 34380.91
            }
          ]
        }
      ]
    },
    {
      "description": "COAGULATION & PLATELET DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "6613",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11209.5,
          "maximum": 15132.83,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11209.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11209.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11994.17,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15132.83,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11209.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11209.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11209.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CELLULITIS WITH MCC",
      "code_information": [
        {
          "code": "602",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15635,
          "minimum": 12112.15,
          "maximum": 31270.74,
          "payers_information": [
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15635.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16508.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25535.84
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24769.76
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14923.36,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15635.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31270.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15635.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 20325.98,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21889.52,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 12112.15
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19544.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15635.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28331.29,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22827.64,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15662.14,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15635.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19544.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15635.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24234.82,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25016.59,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15071.11,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15635.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14775.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cmbn Ant Pst Colprhy",
      "code_information": [
        {
          "code": "57260",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17714.6,
          "discounted_cash": 6402,
          "minimum": 872.17,
          "maximum": 17714.6,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8181.24,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 915.78
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 872.17
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9603.68,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6466.47,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12804.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8963.43,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8003.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9347.58,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 933.22
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6786.6,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8003.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1264.65
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 872.17
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9923.8,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6530.5,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6082.33,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 872.17
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 872.17
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6402.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8434.27,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CCMCC",
      "code_information": [
        {
          "code": "416",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15030,
          "minimum": 12600,
          "maximum": 30061.44,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23100.69
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14348.06,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15030.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30061.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15030.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 19539.94,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21043.01,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 16491.14
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18788.4,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15030.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27235.66,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21944.85,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15058.36,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15030.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18788.4,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15030.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23297.62,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24049.15,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 14490.12,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15030.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15030.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 29552.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14206,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23815.14
            }
          ]
        }
      ]
    },
    {
      "description": "COAGULATION DISORDERS",
      "code_information": [
        {
          "code": "813",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 16719,
          "minimum": 13219.37,
          "maximum": 33439.18,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26098.28
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15954.87,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 16719.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33439.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16719.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 21735.47,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23407.43,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13219.37
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20899.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 16719.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30295.9,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24410.6,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16744.71,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 16719.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20899.49,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16719.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25915.36,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26751.34,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16112.84,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16719.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16719.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16273.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26905.44
            }
          ]
        }
      ]
    },
    {
      "description": "CERVICAL SPINAL FUSION WITH CC",
      "code_information": [
        {
          "code": "472",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 31531,
          "minimum": 11250,
          "maximum": 63063.14,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 48844.92
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 30046.79,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 31531.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 63063.14,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31531.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 40991.04,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44144.2,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 33930.49
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 39414.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 31531.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 57135.2,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 46036.09,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31534.26,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 31531.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 39414.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31531.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 48873.93,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 50450.51,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 30344.29,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31531.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31531.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 35865.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29749.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 50355.58
            }
          ]
        }
      ]
    },
    {
      "description": "COAGULATION & PLATELET DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "6611",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6078.61,
          "maximum": 8206.12,
          "payers_information": [
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6078.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6078.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6078.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6078.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6504.11,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8206.12,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6078.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY- SOI : 4",
      "code_information": [
        {
          "code": "2634",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 27036.79,
          "maximum": 36499.67,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27036.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27036.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28929.37,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36499.67,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27036.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27036.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27036.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC",
      "code_information": [
        {
          "code": "453",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 129365.3,
          "maximum": 129365.3,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 129365.3
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN DELIVERY - SOI : 1",
      "code_information": [
        {
          "code": "5401",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5389.76,
          "maximum": 7276.18,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5389.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5389.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5767.04,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7276.18,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5389.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5389.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5389.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COCAINE ABUSE & DEPENDENCE - SOI : 4",
      "code_information": [
        {
          "code": "7744",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15091.58,
          "maximum": 20373.63,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15091.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15091.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16147.99,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20373.63,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15091.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15091.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15091.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC KIDNEY DISEASE - SOI : 2",
      "code_information": [
        {
          "code": "4702",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4928.4,
          "maximum": 6653.34,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4928.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4928.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5273.39,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6653.34,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4928.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4928.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4928.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COMPLICATED PEPTIC ULCER WITHOUT CCMCC",
      "code_information": [
        {
          "code": "382",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9164,
          "minimum": 7711.93,
          "maximum": 18329.04,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12632.71
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8766.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.52,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18329.04,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.52,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11913.88,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12830.33,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8589.69
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11455.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.52,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16606.11,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13380.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9201,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.52,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11455.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.52,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14205.01,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14663.23,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8853.79,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.52,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.52,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7711.93
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8680.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13023.42
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION WITH MCC",
      "code_information": [
        {
          "code": "783",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 26412,
          "minimum": 7540,
          "maximum": 52825.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31056.61
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25176.88,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 26412.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52825.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26412.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 34336.69,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36977.98,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13714.95
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33016.05,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 26412.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13628,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10275,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26423.26,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 26412.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9000,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26412.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 40939.9,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7540,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 25426.15,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26412.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26412.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 18933.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24927.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32017.13
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE - SOI : 3",
      "code_information": [
        {
          "code": "1403",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7406.92,
          "maximum": 9999.34,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7406.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7406.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7925.4,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9999.34,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7406.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7406.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7406.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA - SOI : 2",
      "code_information": [
        {
          "code": "0572",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6917.15,
          "maximum": 9338.15,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6917.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6917.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7401.35,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9338.15,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6917.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6917.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6917.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "785",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10803,
          "minimum": 7540,
          "maximum": 21606.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14726.64
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10326.14,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21606.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14044.34,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15124.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8785.83
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13504.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13628,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10275,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10837.33,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9000,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16745.18,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7540,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10428.38,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9911.44
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10223.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15182.11
            }
          ]
        }
      ]
    },
    {
      "description": "COMPLICATED PEPTIC ULCER WITH CC",
      "code_information": [
        {
          "code": "381",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12113,
          "minimum": 10417.65,
          "maximum": 24227.56,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18361.52
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11572.88,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12113.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24227.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12113.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 15747.91,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16959.29,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10417.65
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15142.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12113.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21950.17,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17686.12,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12145.8,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12113.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15142.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12113.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18776.36,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19382.05,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11687.47,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12113.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12113.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 13059.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11458.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18929.4
            }
          ]
        }
      ]
    },
    {
      "description": "CONIZATION OF CERVIX - 57520 - ",
      "code_information": [
        {
          "code": "57520",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10500,
          "discounted_cash": 4143,
          "minimum": 369.95,
          "maximum": 10500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5294.15,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 388.45
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6214.62,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4184.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8286.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5800.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6048.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 395.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4391.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 536.43
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6421.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4225.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3935.93,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5457.89,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 10500,
          "discounted_cash": 4143,
          "minimum": 369.95,
          "maximum": 10500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5294.15,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 388.45
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6214.62,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4184.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8286.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5800.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6048.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 395.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4391.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 536.43
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6421.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4225.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3935.93,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.95
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5457.89,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CESAREAN SECTION WITH STERILIZATION- SOI : 2",
      "code_information": [
        {
          "code": "5392",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6779.76,
          "maximum": 9152.68,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6779.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6779.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7254.34,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9152.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6779.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6779.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6779.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COMPLICATIONS OF TREATMENT WITH MCC",
      "code_information": [
        {
          "code": "919",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 19904,
          "minimum": 15032.4954,
          "maximum": 39808.9,
          "payers_information": [
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31695.58
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30744.72
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18984.87,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 19904.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39808.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19904.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 25875.79,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27866.23,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17859.5
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24880.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 19904.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36066.86,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29060.5,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19924.71,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 19904.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24880.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19904.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 30851.9,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31847.12,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 19172.84,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19904.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18796.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19904.45,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 18546.9
            }
          ]
        }
      ]
    },
    {
      "description": "CONNECTIVE TISSUE DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "3463",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11432.12,
          "maximum": 15433.36,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11432.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11432.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12232.37,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15433.36,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11432.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11432.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11432.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY FOR ACUTE LEUKEMIA - SOI : 2",
      "code_information": [
        {
          "code": "6952",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8459.6,
          "maximum": 11420.46,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8459.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8459.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.77,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11420.46,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8459.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8459.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8459.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES",
      "code_information": [
        {
          "code": "212",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 114181,
          "minimum": 10650.94,
          "maximum": 228363.52,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 183664.1
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 108679.03,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 114181.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 228363.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 114181.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 148436.29,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 159854.46,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10650.94
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 142727.2,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 114181.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 206897.35,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 166705.37,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 114059.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 114181.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 142727.2,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 114181.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 176981.73,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 182690.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 109755.06,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 114181.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 114181.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 157285
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 107603,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 189344.44
            }
          ]
        }
      ]
    },
    {
      "description": "Circum 28 Days Or Older",
      "code_information": [
        {
          "code": "54161",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13068.9,
          "discounted_cash": 2675,
          "minimum": 181.57,
          "maximum": 13068.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3418.72,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 190.65
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4013.12,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2702.16,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5350.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3745.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3906.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 194.28
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2835.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 263.28
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4146.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2728.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2541.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3524.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE - SOI : 3",
      "code_information": [
        {
          "code": "3843",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8929.22,
          "maximum": 12054.45,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8929.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8929.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9554.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12054.45,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8929.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8929.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8929.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT",
      "code_information": [
        {
          "code": "838",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 22579,
          "minimum": 13840.3,
          "maximum": 45159.06,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 34194.14
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21529.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45159.06,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 29353.39,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31611.34,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13840.3
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28224.41,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40914.11,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32966.11,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22595.81,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28224.41,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34998.27,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36127.25,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 21743.14,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22579.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 20224.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21316.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 35251.69
            }
          ]
        }
      ]
    },
    {
      "description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA - SOI : 1",
      "code_information": [
        {
          "code": "0571",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4449.24,
          "maximum": 6006.47,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4449.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4449.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4760.69,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6006.47,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4449.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4449.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4449.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CLEFT LIP & PALATE REPAIR - SOI : 2",
      "code_information": [
        {
          "code": "0952",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8045.1,
          "maximum": 10860.89,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8045.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8045.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8608.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10860.89,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8045.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8045.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8045.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS W AMI OR COMPLEX PDX - SOI : 3",
      "code_information": [
        {
          "code": "1653",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 46931.69,
          "maximum": 63357.78,
          "payers_information": [
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 46931.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 46931.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 46931.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 46931.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 46931.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 50216.91,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 63357.78,
              "additional_payer_notes": "135% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "839",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15870,
          "minimum": 11786.02,
          "maximum": 48517.0302,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23104.06
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15147.48,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15870.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31741.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15870.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 20632.27,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22219.37,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 11786.02
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19838.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15870.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28758.22,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23171.63,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15897.35,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15870.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19838.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15870.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24600.02,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25393.57,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15297.45,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15870.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15870.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 13377.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14997.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23818.62
            }
          ]
        }
      ]
    },
    {
      "description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA - SOI : 4",
      "code_information": [
        {
          "code": "0574",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16634.03,
          "maximum": 22455.94,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16634.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16634.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17798.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22455.94,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16634.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16634.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16634.03,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cltx Sho Dslc W/Mnpj W/Anes",
      "code_information": [
        {
          "code": "23655",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 2058,
          "minimum": 210.41,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2629.78,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.93
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 210.41
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3087.02,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2078.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4116.02,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2881.21,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2572.51,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3004.69,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 225.14
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2181.49,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2572.51,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.09
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 210.41
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3189.92,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2099.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1955.11,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 210.41
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 210.41
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2711.12,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC",
      "code_information": [
        {
          "code": "233",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 80520,
          "minimum": 50850,
          "maximum": 161040.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 131779.44
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 76654.15,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 80520.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 161040.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 80520.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 104676.2,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 112728.21,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 87404.54
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 100650.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 80520.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 145902.51,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 117559.42,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 80448.91,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 80520.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 100650.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 80520.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 124806.23,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 128832.24,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 77413.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 80520.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 80520.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 102074
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75895.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 135855.1
            }
          ]
        }
      ]
    },
    {
      "description": "CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC",
      "code_information": [
        {
          "code": "846",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 27845,
          "minimum": 19620.3836,
          "maximum": 55690.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 43055.41
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26539.67,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 27845.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 55690.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27845.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 36198.83,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38983.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20841.11
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34806.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 27845.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 50455.59,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 40654.07,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27853.51,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 27845.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34806.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27845.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 43160.14,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44552.4,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 26802.44,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27845.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27845.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 20283.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26276.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 44387.03
            }
          ]
        }
      ]
    },
    {
      "description": "CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE - SOI : 4",
      "code_information": [
        {
          "code": "3844",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15409.61,
          "maximum": 20802.97,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15409.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15409.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16488.28,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20802.97,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15409.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15409.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15409.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COCAINE ABUSE & DEPENDENCE - SOI : 2",
      "code_information": [
        {
          "code": "7742",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3481.37,
          "maximum": 4699.85,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3481.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3481.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3725.07,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4699.85,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3481.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3481.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3481.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WITH PTCA WITHOUT MCC",
      "code_information": [
        {
          "code": "232",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 64021,
          "minimum": 34200,
          "maximum": 128042.78,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 102988.73
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60957.34,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 64021.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 128042.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 64021.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 83227.81,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 89629.95,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 88746.2
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 80026.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 64021.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 116006.76,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 93471.23,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 63975.03,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 64021.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 80026.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 64021.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 99233.15,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 102434.22,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 61560.88,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 64021.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 64021.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 88197.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60353.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 106173.95
            }
          ]
        }
      ]
    },
    {
      "description": "CHEST PAIN - SOI : 4",
      "code_information": [
        {
          "code": "2034",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9476.23,
          "maximum": 12792.91,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9476.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9476.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10139.57,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12792.91,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9476.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9476.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9476.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS W AMI OR COMPLEX PDX - SOI : 1",
      "code_information": [
        {
          "code": "1651",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 35209.1,
          "maximum": 47532.29,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35209.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35209.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 37673.74,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 47532.29,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35209.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35209.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35209.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC",
      "code_information": [
        {
          "code": "454",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 70815.91,
          "maximum": 70815.91,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 70815.91
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC",
      "code_information": [
        {
          "code": "235",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 61998,
          "minimum": 36450,
          "maximum": 123997.84,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 99203.8
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59033.19,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 61998.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 123997.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 61998.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 80598.6,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 86798.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 71730.47
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 77498.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 61998.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 112342.04,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 90518.42,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61955.62,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 61998.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 77498.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 61998.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 96098.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 99198.27,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 59617.67,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 61998.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61998.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 78659.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 58448.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 102271.96
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC",
      "code_information": [
        {
          "code": "414",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 37958,
          "minimum": 34200,
          "maximum": 75917.28,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 59071.8
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 36161.43,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 37958.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 75917.28,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 37958.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 49346.23,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53142.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 45414.75
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 47448.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 37958.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 68781.06,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 55419.61,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37951.6,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 37958.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 47448.3,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 37958.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 58835.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 60733.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 36519.47,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37958.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 37958.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 50587.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35803.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 60898.76
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS W AMI OR COMPLEX PDX - SOI : 2",
      "code_information": [
        {
          "code": "1652",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 38566.44,
          "maximum": 52064.69,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38566.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38566.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41266.09,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52064.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38566.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38566.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38566.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "455",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 51546.26,
          "maximum": 51546.26,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 51546.26
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WO AMI OR COMPLEX PDX - SOI : 4",
      "code_information": [
        {
          "code": "1664",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 55046.75,
          "maximum": 74313.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55046.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55046.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 58900.02,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74313.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55046.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55046.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55046.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHOLECYSTECTOMY WITH C.D.E. WITH CC",
      "code_information": [
        {
          "code": "412",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 22736,
          "minimum": 19800,
          "maximum": 45473.9,
          "payers_information": [
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22736.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 29558.04,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31831.73,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 26617.48
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28421.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 22736.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41199.35,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33195.95,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22752.9,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 22736.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28421.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22736.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 35242.27,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36379.12,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 21894.3,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22736.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22736.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 30776.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 37048.86
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 35937.4
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21679.65,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 22736.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21465,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45473.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC",
      "code_information": [
        {
          "code": "234",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 57767,
          "minimum": 36450,
          "maximum": 115534.74,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 89695.13
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 55007.33,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 57767.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 115534.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57767.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 75097.58,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 80874.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 70801.98
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 72209.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 57767.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 104674.47,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 84340.36,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57730.46,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 57767.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 72209.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 57767.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 89539.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 92427.79,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 55551.95,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 57767.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57767.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 83720.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 54462.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 92469.2
            }
          ]
        }
      ]
    },
    {
      "description": "COMPLICATED PEPTIC ULCER WITH MCC",
      "code_information": [
        {
          "code": "380",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21274,
          "minimum": 19122.24,
          "maximum": 42548.62,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32442.45
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20288.17,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21274.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42548.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21274.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 27656.6,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29784.03,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19122.24
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26592.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21274.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38549.05,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31060.49,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21292.54,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21274.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26592.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21274.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 32975.18,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34038.9,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20489.05,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21274.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21274.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19471.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20087.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33445.83
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC",
      "code_information": [
        {
          "code": "323",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 45931,
          "minimum": 20700,
          "maximum": 91863.52,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 71810.73
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43747.04,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 45931.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 91863.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45931.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 59711.29,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 64304.46,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 74471.83
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 57414.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 45931.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 83228.35,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 67060.37,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45912.73,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 45931.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 57414.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 45931.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 71194.23,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 73490.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 44180.18,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45931.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45931.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 68794.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 43313.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 74031.68
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE - SOI : 1",
      "code_information": [
        {
          "code": "1401",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4604.01,
          "maximum": 6215.41,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4604.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4604.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4926.29,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6215.41,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4604.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4604.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4604.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WO AMI OR COMPLEX PDX - SOI : 2",
      "code_information": [
        {
          "code": "1662",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 33063.46,
          "maximum": 44635.67,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33063.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33063.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35377.9,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44635.67,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33063.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33063.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33063.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COMPLICATIONS OF TREATMENT WITH CC",
      "code_information": [
        {
          "code": "920",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11267,
          "minimum": 9607.55,
          "maximum": 22534.52,
          "payers_information": [
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15774.16,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9607.55
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14084.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11267.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20416.28,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16450.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11300.55,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11267.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14084.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11267.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17464.25,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18027.62,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10874.12,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11267.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11267.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10742.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17657.13
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17127.42
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10767.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11267.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22534.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11267.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10660.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14647.44,
              "additional_payer_notes": "130.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CVA & PRECEREBRAL OCCLUSION W INFARCT - SOI : 3",
      "code_information": [
        {
          "code": "0453",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10803.48,
          "maximum": 14584.7,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11559.72,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14584.7,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10803.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE - SOI : 2",
      "code_information": [
        {
          "code": "1402",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5528.42,
          "maximum": 7463.37,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5528.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5528.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5915.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7463.37,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5528.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5528.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5528.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WO AMI OR COMPLEX PDX - SOI : 3",
      "code_information": [
        {
          "code": "1663",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 39961.53,
          "maximum": 53948.07,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39961.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39961.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42758.84,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53948.07,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39961.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39961.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39961.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONCUSSION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "090",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9400,
          "minimum": 8902.13,
          "maximum": 18800.24,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14453.52
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8991.15,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9400.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18800.24,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9400.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12220.16,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13160.17,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15884.14
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11750.15,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9400.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17033.02,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13724.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9436.26,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9400.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11750.15,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9400.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14570.19,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15040.19,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9080.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9400.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9400.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16209.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8902.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14900.54
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC",
      "code_information": [
        {
          "code": "190",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12366,
          "minimum": 11078.04,
          "maximum": 24732.12,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18933.05
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11812.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24732.12,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16075.88,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17312.48,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 11078.04
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15457.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22407.3,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18054.45,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12397.76,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15457.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19167.39,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19785.7,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11929.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11745.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11696,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19518.61
            }
          ]
        }
      ]
    },
    {
      "description": "Corrj Halux Rigdus W/O Implt",
      "code_information": [
        {
          "code": "28289",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 4187,
          "minimum": 458.19,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 481.1
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.19
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6281.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8375.42,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 490.26
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 664.38
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.19
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6490.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.19
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.19
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONNECTIVE TISSUE DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "3462",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7614.7,
          "maximum": 10279.85,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7614.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7614.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8147.73,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10279.85,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7614.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7614.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7614.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC",
      "code_information": [
        {
          "code": "192",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7511,
          "minimum": 5886.62,
          "maximum": 15022.18,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10911.37
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7193.95,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15022.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9764.42,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10515.53,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5886.62
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9388.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13610.1,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10966.19,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7550.08,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9388.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11642.19,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12017.74,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7265.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6512.67
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7122.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11248.84
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "073",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17543,
          "minimum": 16572.7,
          "maximum": 35086.34,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26057.82
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16738.43,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17543.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35086.34,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17543.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 22806.12,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24560.44,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 23798.35
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21928.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17543.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31788.22,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25613.03,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17567.06,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17543.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21928.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17543.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27191.91,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28069.07,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16904.15,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17543.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17543.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19573.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16572.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26863.73
            }
          ]
        }
      ]
    },
    {
      "description": "CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE - SOI : 2",
      "code_information": [
        {
          "code": "3842",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6140.1,
          "maximum": 8289.14,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6140.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6140.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6569.91,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8289.14,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6140.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6140.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6140.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTIC FIBROSIS - PULMONARY DISEASE - SOI : 3",
      "code_information": [
        {
          "code": "1313",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17564.8,
          "maximum": 23712.48,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17564.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17564.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18794.34,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23712.48,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17564.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17564.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17564.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Circumcision W/Regionl Block",
      "code_information": [
        {
          "code": "54150",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15017.4,
          "discounted_cash": 2675,
          "minimum": 2541.6395,
          "maximum": 15017.4,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3418.72,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4013.12,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2702.16,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5350.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3745.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3906.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2835.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4146.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2728.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2541.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3524.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "025",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 48217,
          "minimum": 29250,
          "maximum": 96435.96,
          "payers_information": [
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 74737.87,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 77148.77,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 46376.85,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48217.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48217.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 55571.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 77732.04
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 75400.08
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45922.18,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 48217.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 96435.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48217.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 62683.37,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 67505.17,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 53219.87
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 60272.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 48217.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 87370.98,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 70398.25,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48195.55,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 48217.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 60272.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 48217.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 45467.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cor Hlx Vlgs Rsc Prx Phlx Bs",
      "code_information": [
        {
          "code": "28292",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21525,
          "discounted_cash": 4187,
          "minimum": 423.48,
          "maximum": 21525,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 444.65
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 423.48
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6281.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8375.42,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 453.12
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 614.05
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 423.48
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6490.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 423.48
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 423.48
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTOSCOPY AND TREATMENT - 52224 - ",
      "code_information": [
        {
          "code": "52224",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17187.5,
          "discounted_cash": 4511,
          "minimum": 220.55,
          "maximum": 17187.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 231.58
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 235.99
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.8
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 17187.5,
          "discounted_cash": 4511,
          "minimum": 220.55,
          "maximum": 17187.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 231.58
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 235.99
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.8
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.55
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "434",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8246,
          "minimum": 6502.91,
          "maximum": 16492.12,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8283.94,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8246.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10307.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8246.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12781.39,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13193.7,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7971.34,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8246.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8246.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8647.15
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12105.71
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11742.54
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7893.19,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8246.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16492.12,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8246.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10719.88,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11544.48,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7815.04,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6502.91
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10307.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8246.06,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14941.86,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12039.25,
              "additional_payer_notes": "146.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA - SOI : 1",
      "code_information": [
        {
          "code": "9101",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 22594.97,
          "maximum": 30503.21,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24176.62,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30503.21,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS W AMI OR COMPLEX PDX - SOI : 4",
      "code_information": [
        {
          "code": "1654",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 63659,
          "maximum": 85939.65,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 63659,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 63659,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 68115.13,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 85939.65,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 63659,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 63659,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 63659,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy And Treatment - 52235 - OR36052235",
      "code_information": [
        {
          "code": "52235",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17754.5,
          "discounted_cash": 4511,
          "minimum": 640.83,
          "maximum": 17754.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 672.87
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 640.83
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 685.69
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 929.2
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 640.83
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 640.83
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 640.83
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC",
      "code_information": [
        {
          "code": "024",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 41600,
          "minimum": 17550,
          "maximum": 83200.26,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 64094.2
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39625.94,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 41600.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 83200.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41600.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 54080.17,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 58240.18,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 52920.43
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 52000.16,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 41600.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 75379.44,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 60736.19,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41587.62,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 41600.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 52000.16,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 41600.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 64480.2,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 66560.21,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 40018.27,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41600.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41600.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 50704.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39233.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 66076.5
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WITH PTCA WITH MCC",
      "code_information": [
        {
          "code": "231",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 88700,
          "minimum": 48600,
          "maximum": 177401.46,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 142864.47
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 84437.11,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 88700.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 177401.46,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 88700.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 115310.95,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 124181.02,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 104546.78
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 110875.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 88700.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 160725.72,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 129503.07,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 88617.17,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 88700.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 110875.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 88700.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 137486.13,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 141921.17,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 85273.12,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 88700.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 88700.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 77058.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 83601.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 147282.96
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTOURETERO WSTONE REMOVE",
      "code_information": [
        {
          "code": "52352",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8205.24,
          "discounted_cash": 4511,
          "minimum": 306.4,
          "maximum": 8205.24,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 321.72
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 306.4
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8205.24,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 327.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 444.28
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 306.4
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 306.4
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 306.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CLEFT LIP & PALATE REPAIR - SOI : 3",
      "code_information": [
        {
          "code": "0953",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10607.36,
          "maximum": 14319.94,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10607.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10607.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11349.88,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14319.94,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10607.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10607.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10607.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC",
      "code_information": [
        {
          "code": "236",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 44486,
          "minimum": 26100,
          "maximum": 88973.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 69327.34
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42372.33,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 44486.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 88973.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44486.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 57832.89,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62281.58,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 55021.14
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 55608.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 44486.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 80610.15,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 64950.79,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 44469.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 44486.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 55608.55,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 44486.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 68954.6,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 71178.94,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 42791.86,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44486.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 44486.84,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 63573.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41952.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 71471.49
            }
          ]
        }
      ]
    },
    {
      "description": "DEEP VEIN THROMBOPHLEBITIS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "295",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6825.5898,
          "maximum": 13727.3369,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13315.52
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10269.1
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11403.4
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13727.34
            }
          ]
        }
      ]
    },
    {
      "description": "COAGULATION & PLATELET DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "6612",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7714.35,
          "maximum": 10414.37,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7714.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7714.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8254.35,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10414.37,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7714.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7714.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7714.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CVA & PRECEREBRAL OCCLUSION W INFARCT - SOI : 1",
      "code_information": [
        {
          "code": "0451",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6539.76,
          "maximum": 8828.68,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6539.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6539.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6997.54,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8828.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6539.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6539.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6539.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY BYPASS WO AMI OR COMPLEX PDX - SOI : 1",
      "code_information": [
        {
          "code": "1661",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 29768.67,
          "maximum": 40187.7,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29768.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29768.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31852.48,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 40187.7,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29768.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29768.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29768.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEFIBRILLATOR IMPLANTS- SOI : 1",
      "code_information": [
        {
          "code": "1791",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 28107.49,
          "maximum": 37945.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28107.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28107.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30075.01,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 37945.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28107.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28107.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28107.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COAGULATION & PLATELET DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "6614",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 19298.06,
          "maximum": 26052.38,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19298.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19298.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20648.92,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26052.38,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19298.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19298.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19298.06,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CVA & PRECEREBRAL OCCLUSION W INFARCT - SOI : 4",
      "code_information": [
        {
          "code": "0454",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16939.34,
          "maximum": 22868.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16939.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16939.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18125.09,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22868.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16939.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16939.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16939.34,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC",
      "code_information": [
        {
          "code": "026",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 33231,
          "minimum": 13500,
          "maximum": 66463.8,
          "payers_information": [
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 53160.84
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 51566.02
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31664.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 33231.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 66463.8,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33231.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 43201.47,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 46524.66,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 33774.97
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 41539.88,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 33231.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 60216.2,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 48518.57,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33232.06,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 33231.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 41539.88,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33231.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 51509.45,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53171.04,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 31978.02,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33231.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33231.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 36942.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31351,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS - SOI : 3",
      "code_information": [
        {
          "code": "0423",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10008.4,
          "maximum": 13511.34,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10008.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10008.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10708.99,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13511.34,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10008.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10008.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10008.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COCAINE ABUSE & DEPENDENCE - SOI : 1",
      "code_information": [
        {
          "code": "7741",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2749.9,
          "maximum": 3712.37,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2749.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2749.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2942.39,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3712.37,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2749.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2749.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2749.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA",
      "code_information": [
        {
          "code": "955",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 70990,
          "minimum": 39600,
          "maximum": 145985.27,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 115120.72
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 67587.79,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 70990.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 141981.14,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 70990.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 92287.74,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 99386.8,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 145985.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 88738.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 70990.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 128634.91,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 103646.23,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70933.72,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 70990.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 88738.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 70990.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 110035.38,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 113584.91,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 68256.97,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 70990.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 70990.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 130200
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 66918.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 118681.15
            }
          ]
        }
      ]
    },
    {
      "description": "DENTAL AND ORAL DISEASES WITH CC",
      "code_information": [
        {
          "code": "158",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10302,
          "minimum": 8303.02,
          "maximum": 37854.952,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15857.91
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9850.08,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10302.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20605.88,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10302.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13393.82,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14424.12,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8303.02
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12878.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10302.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18668.93,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15042.29,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10337.7,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10302.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12878.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10302.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15969.56,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16484.7,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9947.6,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10302.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10302.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10675
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9752.55,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16348.36
            }
          ]
        }
      ]
    },
    {
      "description": "COCAINE ABUSE & DEPENDENCE - SOI : 3",
      "code_information": [
        {
          "code": "7743",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5959.88,
          "maximum": 8045.84,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5959.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5959.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6377.07,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8045.84,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5959.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5959.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5959.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTIC FIBROSIS - PULMONARY DISEASE - SOI : 2",
      "code_information": [
        {
          "code": "1312",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12532.5,
          "maximum": 16918.88,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12532.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12532.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13409.78,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16918.88,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12532.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12532.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12532.5,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA - SOI : 3",
      "code_information": [
        {
          "code": "9103",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 33747.22,
          "maximum": 45558.75,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33747.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33747.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36109.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45558.75,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33747.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33747.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33747.22,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DENTAL DISEASES AND DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "1143",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6926.69,
          "maximum": 9351.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6926.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6926.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7411.56,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9351.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6926.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6926.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6926.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "COMPLICATIONS OF TREATMENT WITHOUT CCMCC",
      "code_information": [
        {
          "code": "921",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7994,
          "minimum": 5666.11,
          "maximum": 26237.5012,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11594.18
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7654.15,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7994.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15989.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7994.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10393.27,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11192.75,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5666.11
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9993.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7994.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14486.61,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11672.44,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8033.07,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7994.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9993.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7994.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12391.97,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12791.71,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7729.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7994.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7994.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7818.59
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7578.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11952.76
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy And Treatment - 52332 - OR36052332",
      "code_information": [
        {
          "code": "52332",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 21624.7,
          "discounted_cash": 4511,
          "minimum": 789.82,
          "maximum": 21624.7,
          "payers_information": [
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 845.11
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1145.24
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 789.82
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 789.82
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 789.82
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 829.31
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 789.82
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA - SOI : 4",
      "code_information": [
        {
          "code": "9104",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 56988.86,
          "maximum": 76934.96,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 56988.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 56988.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60978.08,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 76934.96,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 56988.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 56988.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 56988.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONCUSSION WITH CC",
      "code_information": [
        {
          "code": "089",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12271,
          "minimum": 11250,
          "maximum": 24542.38,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18074.91
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11722.67,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12271.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24542.38,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12271.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 15952.55,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17179.67,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 16920.56
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15338.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12271.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22235.4,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17915.94,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12303,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12271.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15338.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12271.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19020.34,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19633.9,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11838.73,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12271.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12271.19,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19786.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11606.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18633.93
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy W/Biopsy(S)",
      "code_information": [
        {
          "code": "52204",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11171.3,
          "discounted_cash": 2675,
          "minimum": 195.98,
          "maximum": 11171.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3418.72,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 205.78
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 195.98
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4013.12,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2702.16,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5350.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3745.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3906.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 209.7
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2835.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 284.17
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 195.98
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4146.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2728.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2541.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 195.98
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 195.98
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3524.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cysto/Uretero W/Lithotripsy",
      "code_information": [
        {
          "code": "52356",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17000.3,
          "discounted_cash": 6862,
          "minimum": 354.06,
          "maximum": 17000.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8768.94,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 371.76
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.06
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10293.56,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6930.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13724.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9607.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10019.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 378.84
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7274.11,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.39
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.06
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10636.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6999.62,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6519.25,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.06
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.06
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9040.14,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONCUSSION WITH MCC",
      "code_information": [
        {
          "code": "088",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14910,
          "minimum": 14093.1,
          "maximum": 29821.66,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23783.49
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14234.03,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14910.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29821.66,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14910.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 19384.08,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20875.16,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19759.42
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18638.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14910.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27018.42,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21769.81,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14938.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14910.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18638.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14910.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23111.79,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23857.33,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 14374.96,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14910.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14910.83,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 20367.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14093.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24519.06
            }
          ]
        }
      ]
    },
    {
      "description": "D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CCMCC",
      "code_information": [
        {
          "code": "744",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 22180,
          "minimum": 17060.225,
          "maximum": 44360.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32943.18
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21150.11,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 22180.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44360.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22180.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 28834.33,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31052.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 26090.56
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27725.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 22180.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40190.61,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 32383.17,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22197.14,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 22180.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27725.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22180.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 34379.39,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35488.4,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 21359.51,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22180.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22180.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19828.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20940.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 33962.04
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy And Treatment - 52234 - OR36052234",
      "code_information": [
        {
          "code": "52234",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11750.6,
          "discounted_cash": 4511,
          "minimum": 363.13,
          "maximum": 11750.6,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.29
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 363.13
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 388.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 526.54
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 363.13
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 363.13
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 363.13
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA - SOI : 3",
      "code_information": [
        {
          "code": "0573",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9804.86,
          "maximum": 13236.56,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9804.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9804.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10491.2,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13236.56,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9804.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9804.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9804.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy And Treatment - 52240 - OR36052240",
      "code_information": [
        {
          "code": "52240",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14475,
          "discounted_cash": 6862,
          "minimum": 961.25,
          "maximum": 14475,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1393.81
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10636.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6999.62,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6519.25,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9040.14,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8768.94,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1009.31
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10293.56,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6930.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13724.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9607.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 51,
              "standard_charge_algorithm": "Not To Exceed $6490",
              "additional_payer_notes": "Not to exceed limits in contract for this procedure",
              "median_amount": 6490,
              "10th_percentile": 6490,
              "90th_percentile": 6490,
              "count": "1 through 10"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10019.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1028.54
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7274.11,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Conization Of Cervix - 57522 - OR36057522",
      "code_information": [
        {
          "code": "57522",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10905.1,
          "discounted_cash": 4143,
          "minimum": 321.98,
          "maximum": 10905.1,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5294.15,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 338.08
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 321.98
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6214.62,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4184.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8286.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5800.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6048.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.52
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4391.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 466.87
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 321.98
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6421.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4225.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3935.93,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 321.98
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 321.98
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5457.89,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEFIBRILLATOR IMPLANTS- SOI : 2",
      "code_information": [
        {
          "code": "1792",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 33373.01,
          "maximum": 45053.56,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33373.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33373.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35709.12,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 45053.56,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33373.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33373.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33373.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy And Treatment - 52281 - OR36052281",
      "code_information": [
        {
          "code": "52281",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13937.5,
          "discounted_cash": 2675,
          "minimum": 181.57,
          "maximum": 13937.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3418.72,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 190.65
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4013.12,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2702.16,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5350.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3745.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3906.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 194.28
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2835.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 263.28
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4146.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2728.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2541.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.57
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3524.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIABETES - SOI : 1",
      "code_information": [
        {
          "code": "4201",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4059.12,
          "maximum": 5479.81,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4059.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4059.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4343.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5479.81,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4059.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4059.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4059.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONNECTIVE TISSUE DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "3461",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5540.08,
          "maximum": 7479.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5540.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5540.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5927.89,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7479.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5540.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5540.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5540.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS - SOI : 2",
      "code_information": [
        {
          "code": "0422",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7420.7,
          "maximum": 10017.94,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7420.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7420.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7940.15,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10017.94,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7420.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7420.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7420.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cystouretero W/Biopsy",
      "code_information": [
        {
          "code": "52354",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 6862,
          "minimum": 326.88,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7274.11,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 473.98
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 326.88
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10636.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6999.62,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6519.25,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 326.88
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 326.88
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9040.14,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8768.94,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 343.22
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 326.88
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10293.56,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6930.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13000,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9607.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10019.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 349.76
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIABETES WITH CC",
      "code_information": [
        {
          "code": "638",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10161,
          "minimum": 7119.19,
          "maximum": 20322.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15463.4
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9715.19,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10161.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20322.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10161.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13209.5,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14225.61,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7119.19
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12701.44,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10161.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18412,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14835.28,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10196.14,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10161.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12701.44,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10161.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15749.78,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16257.84,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9811.38,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10161.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10161.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8237.42
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9619,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15941.65
            }
          ]
        }
      ]
    },
    {
      "description": "CONNECTIVE TISSUE DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "3464",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 21898.49,
          "maximum": 29562.96,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23431.38,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29562.96,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21898.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC",
      "code_information": [
        {
          "code": "057",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14324,
          "minimum": 13541.2,
          "maximum": 28649.88,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22497.12
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13676.61,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14324.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28649.88,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14324.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 18622.42,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20054.92,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20908.43
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17906.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14324.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25956.79,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20914.41,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14353.67,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14324.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17906.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14324.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22203.66,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22919.9,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13812.02,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14324.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14324.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21016.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23192.91
            }
          ]
        }
      ]
    },
    {
      "description": "Cystouretero W/Lithotripsy",
      "code_information": [
        {
          "code": "52353",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 24974.3,
          "discounted_cash": 6862,
          "minimum": 354.43,
          "maximum": 24974.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8768.94,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 372.15
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.43
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10293.56,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6930.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13724.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9607.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10019.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 379.24
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7274.11,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 513.92
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.43
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10636.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6999.62,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6519.25,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.43
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 354.43
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9040.14,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONNECTIVE TISSUE DISORDERS WITH CC",
      "code_information": [
        {
          "code": "546",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12842,
          "minimum": 12144.7,
          "maximum": 25684.98,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19518.07
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12266.15,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12842.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25684.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12842.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16695.24,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17979.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14566.84
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16053.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12842.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23270.59,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18750.04,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12873.38,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12842.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16053.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12842.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19905.86,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20547.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12387.59,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12842.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12842.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16347.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12144.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20121.72
            }
          ]
        }
      ]
    },
    {
      "description": "DENTAL DISEASES AND DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "1142",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4606.13,
          "maximum": 6218.28,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4606.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4606.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4928.56,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6218.28,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4606.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4606.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4606.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEFIBRILLATOR IMPLANTS- SOI : 4",
      "code_information": [
        {
          "code": "1794",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 54992.69,
          "maximum": 74240.13,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54992.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54992.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 58842.18,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74240.13,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54992.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54992.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54992.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONNECTIVE TISSUE DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "545",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 26690,
          "minimum": 17298.6932,
          "maximum": 53380.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 42601.9
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25440.69,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 26690.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53380.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26690.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 34697.2,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37366.21,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 33407.06
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33362.69,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 26690.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48362.55,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 38967.62,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26700.13,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 26690.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33362.69,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26690.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 41369.73,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42704.24,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 25692.58,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26690.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26690.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 31528
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25188.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 43919.48
            }
          ]
        }
      ]
    },
    {
      "description": "DEPRESSIVE NEUROSES",
      "code_information": [
        {
          "code": "881",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10627,
          "minimum": 5148.48,
          "maximum": 21254.32,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15411.13
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10158.58,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10627.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21254.32,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10627.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13815.31,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14878.02,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5148.48
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13283.95,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10627.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19256.41,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15515.65,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10661.48,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10627.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13283.95,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10627.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16472.1,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17003.46,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10259.16,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10627.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10627.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5967.68
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10058,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15887.77
            }
          ]
        }
      ]
    },
    {
      "description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "056",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 25036,
          "minimum": 23631.4,
          "maximum": 50073.46,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 42217.51
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23867.71,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 25036.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 50073.46,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25036.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 32547.75,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35051.42,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 30171.27
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 31295.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 25036.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45366.55,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 36553.63,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25049.28,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 25036.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31295.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25036.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 38806.93,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40058.77,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 24104.03,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25036.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25036.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 31472.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23631.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 43523.2
            }
          ]
        }
      ]
    },
    {
      "description": "DIGESTIVE MALIGNANCY - SOI : 1",
      "code_information": [
        {
          "code": "2401",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5584.61,
          "maximum": 7539.22,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5584.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5584.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5975.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7539.22,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5584.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5584.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5584.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CONNECTIVE TISSUE DISORDERS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "547",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9535,
          "minimum": 9029.79,
          "maximum": 28959.6382,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11919.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17278.6,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13922.05,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9571.58,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11919.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14780.26,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15257.04,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9210.39,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10511.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12969.54
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12580.45
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9120.09,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19071.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12396.35,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13349.91,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9029.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9199.01
            }
          ]
        }
      ]
    },
    {
      "description": "DENTAL AND ORAL DISEASES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "159",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8204,
          "minimum": 7580.56,
          "maximum": 28709.1716,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11120.43
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7853.52,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8204.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16408.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8204.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10665.67,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11486.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9261.68
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10255.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8204.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14866.3,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11978.37,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8242.31,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8204.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10255.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8204.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12716.76,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13126.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7931.28,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8204.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8204.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7580.56
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7775.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11464.36
            }
          ]
        }
      ]
    },
    {
      "description": "DIGESTIVE MALIGNANCY WITH CC",
      "code_information": [
        {
          "code": "375",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13428,
          "minimum": 10530.23,
          "maximum": 26856.76,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20715.09
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12823.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13428.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26856.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13428.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 17456.89,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18799.73,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10530.23
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16785.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13428.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24332.22,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19605.43,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13458.4,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13428.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16785.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13428.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20813.99,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21485.41,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12950.53,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13428.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13428.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 14927
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12696.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21355.76
            }
          ]
        }
      ]
    },
    {
      "description": "CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE - SOI : 1",
      "code_information": [
        {
          "code": "3841",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4735.47,
          "maximum": 6392.88,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4735.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4735.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5066.95,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6392.88,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4735.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4735.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4735.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DENTAL DISEASES AND DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "1141",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3289.49,
          "maximum": 4440.81,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3289.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3289.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3519.75,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4440.81,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3289.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3289.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3289.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Dilate Urethra Stricture",
      "code_information": [
        {
          "code": "53600",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 31098,
          "discounted_cash": 319,
          "minimum": 124.96,
          "maximum": 31098,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 408.61,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 131.21
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.96
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 479.66,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 639.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 447.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 399.71,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 466.86,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.71
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 338.96,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 399.71,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 181.19
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.96
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 495.64,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 326.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 303.78,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.96
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 124.96
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 421.25,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC",
      "code_information": [
        {
          "code": "324",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 33667,
          "minimum": 10350,
          "maximum": 74801.0252,
          "payers_information": [
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 43767.97,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47134.74,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 39148.61
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 42084.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 61005.82,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 49154.8,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.19,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 42084.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 52184.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 53868.27,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 32396.73,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 51856.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 55533.32
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 53867.32
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32079.12,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 67335.34,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33667.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 31761.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DENTAL DISEASES AND DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "1144",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15815.63,
          "maximum": 21351.1,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15815.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15815.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16922.72,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21351.1,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15815.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15815.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15815.63,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES - SOI : 2",
      "code_information": [
        {
          "code": "5172",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8522.14,
          "maximum": 11504.89,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8522.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8522.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9118.69,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11504.89,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8522.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8522.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8522.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE",
      "code_information": [
        {
          "code": "325",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 34286,
          "minimum": 12150,
          "maximum": 68573.84,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 48253.15
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32668.25,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 34286.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 68573.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34286.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 44573,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48001.69,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 34066.29
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 42858.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 34286.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62127.9,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 50058.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34285.49,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 34286.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 42858.65,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34286.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 53144.73,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 54859.07,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 32991.7,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34286.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34286.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 41322.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32344.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 49745.52
            }
          ]
        }
      ]
    },
    {
      "description": "Dextrose 5% W/ Sodium Chloride 0.45%",
      "drug_information": {
        "unit": 1000,
        "type": "ML"
      },
      "code_information": [
        {
          "code": "00264761200",
          "type": "NDC"
        },
        {
          "code": "J7060",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 51,
              "standard_charge_algorithm": "Not To Exceed $4132",
              "additional_payer_notes": "Not to exceed limits in contract for this procedure",
              "median_amount": 18.35,
              "10th_percentile": 18.35,
              "90th_percentile": 18.35,
              "count": "1 through 10"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC",
      "code_information": [
        {
          "code": "074",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11564,
          "minimum": 10940.8,
          "maximum": 23128.74,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17574.19
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11050.21,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23128.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 15033.68,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16190.12,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 11137.23
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14455.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20954.64,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16883.98,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11597.25,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14455.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17924.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18502.99,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11159.62,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11564.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 12187.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10940.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18117.72
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF GALLBLADDER & BILIARY TRACT - SOI : 3",
      "code_information": [
        {
          "code": "2843",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9985.08,
          "maximum": 13479.86,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9985.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9985.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10684.04,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13479.86,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9985.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9985.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9985.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "027",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 27119,
          "minimum": 7200,
          "maximum": 54239.32,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 41605.51
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25849.33,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 27119.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 54239.32,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27119.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 35255.56,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37967.52,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 31458.39
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33899.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 27119.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 49140.82,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 39594.7,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27129,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 27119.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33899.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27119.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 42035.47,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 43391.46,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 26105.27,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27119.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 27119.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 36881.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25593.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 42892.28
            }
          ]
        }
      ]
    },
    {
      "description": "DIGESTIVE MALIGNANCY - SOI : 2",
      "code_information": [
        {
          "code": "2402",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7210.8,
          "maximum": 9734.58,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7210.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7210.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7715.56,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9734.58,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7210.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7210.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7210.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PANCREAS EXCEPT MALIGNANCY - SOI : 1",
      "code_information": [
        {
          "code": "2821",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4490.58,
          "maximum": 6062.28,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4490.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4490.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4804.92,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6062.28,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4490.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4490.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4490.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA - SOI : 2",
      "code_information": [
        {
          "code": "9102",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 22650.1,
          "maximum": 30577.63,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22650.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22650.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24235.61,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30577.63,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22650.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22650.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22650.1,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIGESTIVE MALIGNANCY WITHOUT CCMCC",
      "code_information": [
        {
          "code": "376",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10454,
          "minimum": 8879.84,
          "maximum": 20908.2,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14886.81
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9993.89,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10454.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20908.2,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10454.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13590.33,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14635.74,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8879.84
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13067.63,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10454.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18942.83,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15262.99,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10488.64,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10454.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13067.63,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10454.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16203.86,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16726.56,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10092.84,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10454.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10454.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11554.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9894.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15347.23
            }
          ]
        }
      ]
    },
    {
      "description": "DIABETES - SOI : 2",
      "code_information": [
        {
          "code": "4202",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5392.73,
          "maximum": 7280.19,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5392.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5392.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5770.22,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7280.19,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5392.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5392.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5392.73,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC",
      "code_information": [
        {
          "code": "438",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17813,
          "minimum": 16827,
          "maximum": 35626.36,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28048.91
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16995.27,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17813.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35626.36,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17813.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23157.13,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24938.45,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20527.75
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22266.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17813.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32277.48,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26007.24,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17836.62,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17813.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22266.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17813.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27610.43,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28501.09,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17163.54,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17813.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17813.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21235.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16827,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28916.4
            }
          ]
        }
      ]
    },
    {
      "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": 60557,
          "minimum": 32850,
          "maximum": 121114.26,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 96184.29
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57661.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 60557.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 121114.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60557.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 78724.27,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 84779.98,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 72125.08
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 75696.41,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 60557.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 109729.52,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 88413.41,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60516.04,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 60557.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 75696.41,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 60557.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 93863.55,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 96891.41,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 58232.41,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 60557.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 60557.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 82328.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 57090.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 99159.07
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES - SOI : 3",
      "code_information": [
        {
          "code": "5173",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12821.91,
          "maximum": 17309.58,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12821.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12821.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13719.44,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17309.58,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12821.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12821.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12821.91,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIABETES WITH MCC",
      "code_information": [
        {
          "code": "637",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15795,
          "minimum": 13441.2076,
          "maximum": 31591.84,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23062.04,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15822.41,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15795.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19744.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15795.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24483.68,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25273.47,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15225.34,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15795.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15795.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 13909.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25311.62
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24552.28
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15076.07,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15795.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31591.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15795.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 20534.7,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22114.29,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14926.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13568.72
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19744.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15795.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28622.21,
              "additional_payer_notes": "181.20% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Division Of Fallopian Tube",
      "code_information": [
        {
          "code": "58600",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13813,
          "discounted_cash": 4143,
          "minimum": 1007.412,
          "maximum": 13813,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5294.15,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1007.41
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1086.57
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6214.62,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4184.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8286.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5800.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6048.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1162.63
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4391.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1575.53
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1086.57
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6421.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4225.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3935.93,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1086.57
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1086.57
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5457.89,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CVA & PRECEREBRAL OCCLUSION W INFARCT - SOI : 2",
      "code_information": [
        {
          "code": "0452",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8072.66,
          "maximum": 10898.09,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8072.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8072.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8637.75,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10898.09,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8072.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8072.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8072.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Dilation And Curettage",
      "code_information": [
        {
          "code": "58120",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 4143,
          "minimum": 319.8,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5294.15,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 335.79
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.8
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6214.62,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4184.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8286.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5800.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6048.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 342.19
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4391.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5178.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.71
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.8
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6421.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4225.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3935.93,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.8
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 319.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4143.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5457.89,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIGESTIVE MALIGNANCY - SOI : 4",
      "code_information": [
        {
          "code": "2404",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15872.88,
          "maximum": 21428.39,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15872.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15872.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.98,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21428.39,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15872.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15872.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15872.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTIC FIBROSIS - PULMONARY DISEASE - SOI : 1",
      "code_information": [
        {
          "code": "1311",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7099.49,
          "maximum": 9584.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7099.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7099.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7596.45,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9584.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7099.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7099.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7099.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC",
      "code_information": [
        {
          "code": "442",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10881,
          "minimum": 10297.6,
          "maximum": 21763.06,
          "payers_information": [
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 12130.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16793.31
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16289.51
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10400.58,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21763.06,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14145.99,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15234.14,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10430.42
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13601.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19717.33,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15887.03,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10915.46,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13601.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10297.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16866.37,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17410.45,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10503.55,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK - SOI : 3",
      "code_information": [
        {
          "code": "3033",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 49432.46,
          "maximum": 66733.82,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49432.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49432.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52892.73,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66733.82,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49432.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49432.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49432.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTIC FIBROSIS - PULMONARY DISEASE - SOI : 4",
      "code_information": [
        {
          "code": "1314",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18877.2,
          "maximum": 25484.22,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18877.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18877.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20198.6,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25484.22,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18877.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18877.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18877.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC",
      "code_information": [
        {
          "code": "441",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 19528,
          "minimum": 18442.4,
          "maximum": 39056.22,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31870.92
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18626.82,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 19528.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39056.22,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19528.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 25386.54,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27339.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 21287.95
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24410.14,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 19528.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35384.94,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28511.04,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19548.94,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 19528.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24410.14,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19528.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 30268.57,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31244.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 18811.25,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19528.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19528.11,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 23523.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18442.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32856.62
            }
          ]
        }
      ]
    },
    {
      "description": "DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE - SOI : 2",
      "code_information": [
        {
          "code": "7702",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3378.54,
          "maximum": 4561.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3378.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3378.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3615.04,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4561.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3378.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3378.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3378.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTO RX BALO CATH URTL STRX",
      "code_information": [
        {
          "code": "52284",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 22278.8,
          "discounted_cash": 6862,
          "minimum": 1875.678,
          "maximum": 22278.8,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8768.94,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1875.68
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10293.56,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6930.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13724.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9607.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10019.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7274.11,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10636.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6999.62,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6519.25,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9040.14,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 22278.8,
          "discounted_cash": 6862,
          "minimum": 1875.678,
          "maximum": 22278.8,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8768.94,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1875.68
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10293.56,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6930.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13724.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9607.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10019.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7274.11,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8577.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10636.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6999.62,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6519.25,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6862.37,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9040.14,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "443",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8112,
          "minimum": 7665.84,
          "maximum": 16225.24,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11847.07
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7766.23,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8112.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16225.24,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8112.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 10546.41,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11357.67,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7665.84
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10140.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8112.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14700.07,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11844.43,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8150.7,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8112.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10140.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8112.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12574.56,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12980.19,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7843.13,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8112.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8112.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7812.09
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7689.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12213.47
            }
          ]
        }
      ]
    },
    {
      "description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC",
      "code_information": [
        {
          "code": "148",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9128,
          "minimum": 8645.82,
          "maximum": 18256.06,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13499.28
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8732.28,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9128.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18256.06,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9128.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11866.44,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12779.24,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 11462.2
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11410.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9128.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16539.99,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13326.92,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9164.57,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9128.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11410.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9128.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14148.45,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14604.85,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8818.74,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9128.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9128.03,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11560.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8645.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13916.79
            }
          ]
        }
      ]
    },
    {
      "description": "CYSTOSCOPY AND TREATMENT - 52214 - ",
      "code_information": [
        {
          "code": "52214",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10500,
          "discounted_cash": 4511,
          "minimum": 238.18,
          "maximum": 10500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 250.09
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 254.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 345.36
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 10500,
          "discounted_cash": 4511,
          "minimum": 238.18,
          "maximum": 10500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 250.09
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 254.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 345.36
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 238.18
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PERSONALITY & IMPULSE CONTROL - SOI : 1",
      "code_information": [
        {
          "code": "7521",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2817.75,
          "maximum": 3803.96,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2817.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2817.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3014.99,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3803.96,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2817.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2817.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2817.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PANCREAS EXCEPT MALIGNANCY - SOI : 2",
      "code_information": [
        {
          "code": "2822",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5998.05,
          "maximum": 8097.37,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5998.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5998.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6417.91,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8097.37,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5998.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5998.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5998.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES - SOI : 4",
      "code_information": [
        {
          "code": "1104",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17487.41,
          "maximum": 23608,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23608,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17487.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17487.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17487.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17487.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17487.41,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18711.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy And Treatment - 52276 - OR36052276",
      "code_information": [
        {
          "code": "52276",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 33882.9,
          "discounted_cash": 2675,
          "minimum": 546.85,
          "maximum": 33882.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3418.72,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 574.19
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 546.85
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4013.12,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2702.16,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5350.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3745.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3906.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 585.13
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2835.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 792.93
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 546.85
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4146.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2728.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2541.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 546.85
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 546.85
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3524.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PERSONALITY & IMPULSE CONTROL - SOI : 4",
      "code_information": [
        {
          "code": "7524",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 33313.64,
          "maximum": 44973.41,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33313.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33313.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35645.59,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44973.41,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33313.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33313.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33313.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC",
      "code_information": [
        {
          "code": "439",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9587,
          "minimum": 9078.89,
          "maximum": 19175.54,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14502.42
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9169.68,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9587.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19175.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9587.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12464.1,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13422.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9204.81
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11984.71,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9587.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17373.04,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13998.14,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9623.62,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9587.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11984.71,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9587.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14861.04,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15340.43,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9260.47,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9587.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9587.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9912.74
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9078.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14950.94
            }
          ]
        }
      ]
    },
    {
      "description": "EATING DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "7593",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13046.65,
          "maximum": 17612.98,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13046.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13046.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13959.92,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17612.98,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13046.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13046.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13046.65,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cystoscopy And Treatment - 52310 - OR36052310",
      "code_information": [
        {
          "code": "52310",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14491.1,
          "discounted_cash": 2675,
          "minimum": 422.95,
          "maximum": 14491.1,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3418.72,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 444.1
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 422.95
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4013.12,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2702.16,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5350.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3745.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3906.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 452.56
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2835.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 613.28
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 422.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4146.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2728.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2541.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 422.95
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 422.95
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3524.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PERSONALITY AND IMPULSE CONTROL",
      "code_information": [
        {
          "code": "883",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21317,
          "minimum": 12296,
          "maximum": 42634.1,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21335.15,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21317.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26646.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21317.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33041.43,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34107.28,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20530.05,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21317.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21317.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 15945.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 32222.22
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31255.55
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20328.78,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21317.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42634.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21317.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 27712.17,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29843.87,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20127.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 19934.67
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26646.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21317.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38626.49,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31122.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CCMCC",
      "code_information": [
        {
          "code": "440",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7296,
          "minimum": 6285.88,
          "maximum": 14592.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10370.19
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6989.62,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7296.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14592.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7296.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9485.24,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10214.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6285.88
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9120.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7296.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.97,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10652.66,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7335.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7296.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9120.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7296.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11309.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11674.14,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7058.83,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7296.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7296.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7450.48
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6920.42,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10690.92
            }
          ]
        }
      ]
    },
    {
      "description": "EATING DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "7594",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 23951.9,
          "maximum": 32335.07,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23951.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23951.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25628.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32335.07,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23951.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23951.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23951.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Cystouretero & Or Pyeloscope",
      "code_information": [
        {
          "code": "52351",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18450,
          "discounted_cash": 4511,
          "minimum": 260.61,
          "maximum": 18450,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 273.64
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 260.61
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 278.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 377.88
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 260.61
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 260.61
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 260.61
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIVERTICULITIS & DIVERTICULOSIS - SOI : 1",
      "code_information": [
        {
          "code": "2441",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4359.13,
          "maximum": 5884.83,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4359.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4359.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4664.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5884.83,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4359.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4359.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4359.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PERSONALITY & IMPULSE CONTROL - SOI : 3",
      "code_information": [
        {
          "code": "7523",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7618.94,
          "maximum": 10285.57,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7618.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7618.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8152.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10285.57,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7618.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7618.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7618.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE HIP JOINT REPLACEMENT- SOI : 1",
      "code_information": [
        {
          "code": "3241",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12305.64,
          "maximum": 16612.61,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12305.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12305.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13167.03,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16612.61,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12305.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12305.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12305.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "745",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12676,
          "minimum": 5658.1,
          "maximum": 26053.0258,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17277.46
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12108.49,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12676.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25353.46,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12676.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16479.75,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17747.42,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17390.61
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15845.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12676.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22970.23,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18508.03,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12707.92,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12676.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15845.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12676.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19648.93,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20282.77,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12228.37,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12676.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12676.73,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5658.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17811.82
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF THE BILIARY TRACT WITH CC",
      "code_information": [
        {
          "code": "445",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 12227,
          "minimum": 11108.22,
          "maximum": 24454.82,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18283.97
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11681.05,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 12227.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24454.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12227.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 15895.63,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17118.37,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 11108.22
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15284.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 12227.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22156.07,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17852.02,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12259.32,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 12227.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15284.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12227.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18952.49,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19563.86,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11796.71,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12227.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12227.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11426.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11565.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 18849.45
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE HIP JOINT REPLACEMENT- SOI : 4",
      "code_information": [
        {
          "code": "3244",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 29312.83,
          "maximum": 39572.32,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29312.83,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29312.83,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31364.73,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39572.32,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29312.83,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29312.83,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29312.83,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK - SOI : 2",
      "code_information": [
        {
          "code": "3042",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 28158.38,
          "maximum": 38013.81,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28158.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28158.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30129.47,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38013.81,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28158.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28158.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28158.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIVERTICULITIS & DIVERTICULOSIS - SOI : 4",
      "code_information": [
        {
          "code": "2444",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15668.28,
          "maximum": 21152.18,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15668.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15668.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16765.06,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21152.18,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15668.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15668.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15668.28,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE KNEE JOINT REPLACEMENT- SOI : 1",
      "code_information": [
        {
          "code": "3261",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12205.99,
          "maximum": 16478.09,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12205.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12205.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13060.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16478.09,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12205.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12205.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12205.99,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEEP VEIN THROMBOPHLEBITIS WITH CCMCC",
      "code_information": [
        {
          "code": "294",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9508.732,
          "maximum": 21343.5929,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20703.29
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.83
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 17730
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21343.59
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK - SOI : 3",
      "code_information": [
        {
          "code": "3043",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 38877.05,
          "maximum": 52484.02,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38877.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38877.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41598.44,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52484.02,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38877.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38877.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38877.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEFIBRILLATOR IMPLANTS- SOI : 3",
      "code_information": [
        {
          "code": "1793",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 40597.59,
          "maximum": 54806.75,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 40597.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 40597.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43439.42,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54806.75,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 40597.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 40597.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 40597.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",
      "code_information": [
        {
          "code": "146",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 22892,
          "minimum": 11272.4968,
          "maximum": 45784.58,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 38677.04
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21827.51,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 22892.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 45784.58,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22892.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 29759.98,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32049.21,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17379.01
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28615.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 22892.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41480.83,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33422.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22908.08,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 22892.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28615.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22892.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 35483.05,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36627.66,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 22043.63,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22892.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22892.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 18540.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21611.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 39873.24
            }
          ]
        }
      ]
    },
    {
      "description": "Endocervical Curettage",
      "code_information": [
        {
          "code": "57505",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6000,
          "discounted_cash": 1178,
          "minimum": 72.68,
          "maximum": 6000,
          "payers_information": [
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.68
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1552.92,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1506.33,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.31
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.68
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1768.23,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.61,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2357.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1650.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1473.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1721.08,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.77
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1249.55,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1473.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 105.39
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.68
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1827.17,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1202.4,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1119.88,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 72.68
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1178.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS - SOI : 1",
      "code_information": [
        {
          "code": "0421",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5906.88,
          "maximum": 7974.29,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5906.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5906.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6320.36,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7974.29,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5906.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5906.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5906.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES - SOI : 3",
      "code_information": [
        {
          "code": "1103",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10282.97,
          "maximum": 13882.01,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10282.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10282.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11002.78,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13882.01,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10282.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10282.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10282.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK - SOI : 1",
      "code_information": [
        {
          "code": "3041",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 21066.31,
          "maximum": 28439.52,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21066.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21066.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22540.95,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28439.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21066.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21066.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21066.31,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ENDOCRINE DISORDERS WITH CC",
      "code_information": [
        {
          "code": "644",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11503,
          "minimum": 9665.58,
          "maximum": 23007.82,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17422.46
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10992.64,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11503.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23007.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11503.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14955.08,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16105.47,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9665.58
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14379.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11503.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20845.08,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16795.71,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11536.83,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11503.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14379.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11503.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17831.06,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18406.26,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11101.48,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11503.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11503.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 10677.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10883.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17961.29
            }
          ]
        }
      ]
    },
    {
      "description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS - SOI : 4",
      "code_information": [
        {
          "code": "0424",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18420.3,
          "maximum": 24867.4,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18420.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18420.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19709.72,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24867.4,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18420.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18420.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18420.3,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EATING DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "7591",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6174.02,
          "maximum": 8334.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6174.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6174.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6606.2,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8334.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6174.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6174.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6174.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK - SOI : 2",
      "code_information": [
        {
          "code": "3032",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 36947.67,
          "maximum": 49879.35,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36947.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36947.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39534.01,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49879.35,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36947.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36947.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36947.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC",
      "code_information": [
        {
          "code": "267",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 50450,
          "minimum": 4973.22,
          "maximum": 103154.7442,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 79318.2
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 48045.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 50450,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 100900,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 50450,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 65585,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 70630,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 4973.22
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 63062.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 50450,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 91415.4,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 73657,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50424.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 50450,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 63062.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 50450,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 78197.5,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 80720,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 48521.3,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 50450,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 50450,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5263.98
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47569.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 81771.34
            }
          ]
        }
      ]
    },
    {
      "description": "DENTAL AND ORAL DISEASES WITH MCC",
      "code_information": [
        {
          "code": "157",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 18715,
          "minimum": 17677.4,
          "maximum": 67218.0364,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 27607.19
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17854.17,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 18715.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37431.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18715.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 24330.79,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26202.39,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 23190.19
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23394.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 18715.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33913.37,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27325.35,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18738.04,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 18715.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23394.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18715.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 29009.78,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29945.58,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 18030.95,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18715.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18715.99,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21023.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17677.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28461.02
            }
          ]
        }
      ]
    },
    {
      "description": "EATING DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "7592",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8406.59,
          "maximum": 11348.9,
          "payers_information": [
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8406.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8406.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8406.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8406.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8406.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8995.05,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11348.9,
              "additional_payer_notes": "135% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",
      "code_information": [
        {
          "code": "003",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 222093,
          "minimum": 108450,
          "maximum": 444186.02,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 361322.9
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 211345.53,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 222093.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 444186.02,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 222093.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 288720.91,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 310930.21,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 280336.56
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 277616.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 222093.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 402432.53,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 324255.79,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 221808.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 222093.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 277616.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 222093.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 344244.17,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 355348.82,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 213438.06,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 222093.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 222093.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 336292
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 209253,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 372497.84
            }
          ]
        }
      ]
    },
    {
      "description": "DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE - SOI : 1",
      "code_information": [
        {
          "code": "7701",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 2155.18,
          "maximum": 2909.49,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2155.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2155.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2306.04,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2909.49,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2155.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2155.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 2155.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE HIP JOINT REPLACEMENT- SOI : 2",
      "code_information": [
        {
          "code": "3242",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13814.16,
          "maximum": 18649.12,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13814.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13814.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14781.15,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18649.12,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13814.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13814.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13814.16,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE - SOI : 4",
      "code_information": [
        {
          "code": "7704",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10998.54,
          "maximum": 14848.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10998.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10998.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11768.44,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14848.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10998.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10998.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10998.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EPISTAXIS WITH MCC",
      "code_information": [
        {
          "code": "150",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14699,
          "minimum": 11071.5236,
          "maximum": 29398.4,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23303
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14032.64,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14699.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29398.4,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14699.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 19108.96,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20578.88,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 16934.49
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 18374,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14699.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26634.95,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21460.83,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14727.32,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14699.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18374,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14699.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22783.76,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23518.72,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 14171.57,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14699.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14699.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19955.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13893.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24023.71
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE KNEE JOINT REPLACEMENT- SOI : 4",
      "code_information": [
        {
          "code": "3264",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 25927.93,
          "maximum": 35002.71,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25927.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25927.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27742.89,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35002.71,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25927.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25927.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25927.93,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",
      "code_information": [
        {
          "code": "147",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14073,
          "minimum": 13304.5,
          "maximum": 28147.38,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 20986.52
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13437.55,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14073.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28147.38,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14073.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 18295.8,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19703.17,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15920.12
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17592.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14073.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25501.53,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20547.59,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14102.77,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14073.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17592.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14073.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21814.22,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22517.9,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13570.59,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14073.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14073.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 15820.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13304.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21635.59
            }
          ]
        }
      ]
    },
    {
      "description": "EPISTAXIS WITHOUT MCC",
      "code_information": [
        {
          "code": "151",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8470,
          "minimum": 6477.55,
          "maximum": 23449.373,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12779.39
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8106.43,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8470.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16940.4,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8470.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11011.26,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11858.28,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14781.56
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10587.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8470.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15348,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12366.49,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8507.74,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8470.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10587.75,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8470.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13128.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13552.32,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8186.69,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8470.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8470.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6477.55
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8026.17,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13174.63
            }
          ]
        }
      ]
    },
    {
      "description": "ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "266",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 64707,
          "minimum": 11700,
          "maximum": 129414.72,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 101001.01
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61610,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 64707.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 129414.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 64707.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 84119.57,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 90590.3,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 60072.12
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 80884.2,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 64707.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 117249.74,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 94472.75,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 64660,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 64707.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 80884.2,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 64707.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 100296.41,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 103531.78,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 62220,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 64707.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 64707.36,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 54636.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 61000,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 104124.75
            }
          ]
        }
      ]
    },
    {
      "description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES - SOI : 1",
      "code_information": [
        {
          "code": "1101",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6412.54,
          "maximum": 8656.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6412.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6412.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6861.42,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8656.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6412.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6412.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6412.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIABETES - SOI : 3",
      "code_information": [
        {
          "code": "4203",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7786.43,
          "maximum": 10511.68,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7786.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7786.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8331.48,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10511.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7786.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7786.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7786.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ENDOCRINE DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "643",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17978,
          "minimum": 15372.95,
          "maximum": 35957.88,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 27941.01
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17152.93,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17978.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35957.88,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17978.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23372.62,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25170.52,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 16657.1
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22473.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17978.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32577.84,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26249.25,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18002.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17978.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22473.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17978.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27867.36,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28766.3,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17322.76,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17978.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17978.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19284.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16983.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28805.16
            }
          ]
        }
      ]
    },
    {
      "description": "DIABETES - SOI : 4",
      "code_information": [
        {
          "code": "4204",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14323.01,
          "maximum": 19336.06,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14323.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14323.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15325.62,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19336.06,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14323.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14323.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14323.01,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC",
      "code_information": [
        {
          "code": "391",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14040,
          "minimum": 13118.4,
          "maximum": 28080.66,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 21655.84
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13405.83,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14040.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28080.66,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14040.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 18252.43,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19656.46,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13118.4
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17550.41,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14040.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25441.08,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20498.88,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14069.49,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14040.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17550.41,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14040.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21762.51,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22464.53,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13538.56,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14040.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14040.33,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 13471.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13273.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22325.61
            }
          ]
        }
      ]
    },
    {
      "description": "DIABETES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "639",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7294,
          "minimum": 5254.09,
          "maximum": 20031.3288,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10649.61,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7333.57,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7294.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9117.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7294.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11306.09,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11670.8,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7056.83,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7294.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7294.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5965.07
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10890.79
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10564.07
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6987.64,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7294.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14588.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7294.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9482.53,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10211.95,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6918.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5254.09
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9117.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7294.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13217.18,
              "additional_payer_notes": "181.20% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc hand tum deep < 1.5 cm",
      "code_information": [
        {
          "code": "26116",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 2113,
          "minimum": 411.73,
          "maximum": 6500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 432.32
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 440.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 597.01
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 2113,
          "minimum": 411.73,
          "maximum": 6500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 432.32
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 440.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 597.01
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 411.73
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIGESTIVE MALIGNANCY - SOI : 3",
      "code_information": [
        {
          "code": "2403",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10169.54,
          "maximum": 13728.88,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10169.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10169.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10881.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13728.88,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10169.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10169.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10169.54,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc Shoulder Les Sc 3 Cm/>",
      "code_information": [
        {
          "code": "23071",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 16250,
          "discounted_cash": 2113,
          "minimum": 344.38,
          "maximum": 16250,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 361.6
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.38
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 368.49
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 499.35
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.38
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.38
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.38
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIGESTIVE MALIGNANCY WITH MCC",
      "code_information": [
        {
          "code": "374",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 23114,
          "minimum": 21820.5,
          "maximum": 46228.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 35596.84
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22038.71,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 46228.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 30048.64,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32360.08,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 29828.89
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28892.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41883.18,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33746.94,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23129.73,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28892.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 35827.23,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36982.94,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 22256.91,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 28261.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21820.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 36697.77
            }
          ]
        }
      ]
    },
    {
      "description": "Ercp Ea Duct/Ampulla Dilate",
      "code_information": [
        {
          "code": "43277",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10500,
          "discounted_cash": 4934,
          "minimum": 344.01,
          "maximum": 21423.8,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6305.42,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 361.21
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.01
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7401.72,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4983.82,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9868.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6908.27,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6168.1,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7204.34,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 368.09
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5230.55,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6168.1,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 498.81
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.01
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7648.44,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5033.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4687.76,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.01
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.01
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4934.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6500.44,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc snhfg mal+mrg >4 cm",
      "code_information": [
        {
          "code": "11626",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10500,
          "discounted_cash": 3717,
          "minimum": 386.64,
          "maximum": 10500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4750.5,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 405.97
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5576.45,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3754.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7435.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5204.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5427.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 413.7
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3940.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 560.63
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5762.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3791.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3531.75,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4897.42,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 10500,
          "discounted_cash": 3717,
          "minimum": 386.64,
          "maximum": 10500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4750.5,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 405.97
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5576.45,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3754.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7435.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5204.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5427.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 413.7
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3940.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 560.63
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5762.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3791.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3531.75,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.64
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4897.42,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc Foot/Toe Tum Sc < 1.5 Cm",
      "code_information": [
        {
          "code": "28043",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 14213.6,
          "discounted_cash": 2113,
          "minimum": 433.1,
          "maximum": 14213.6,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 454.76
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 433.1
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.42
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 628
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 433.1
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 433.1
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 433.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc tr-ext b9+marg >4.0 cm",
      "code_information": [
        {
          "code": "11406",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8750,
          "discounted_cash": 2113,
          "minimum": 277.15,
          "maximum": 8750,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.01
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 296.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 401.87
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 8750,
          "discounted_cash": 2113,
          "minimum": 277.15,
          "maximum": 8750,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.01
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 296.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 401.87
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 277.15
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc Foot/Toe Tum Sc 1.5 Cm/>",
      "code_information": [
        {
          "code": "28039",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 9000,
          "discounted_cash": 3717,
          "minimum": 405.81,
          "maximum": 9000,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5427.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 434.22
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3940.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 588.42
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 405.81
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5762.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3791.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3531.75,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 405.81
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 405.81
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4897.42,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4750.5,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 426.21
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 405.81
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5576.45,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3754.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7435.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5204.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc Tr-Ext B9+Marg 1.1-2 Cm",
      "code_information": [
        {
          "code": "11402",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 7500,
          "discounted_cash": 906,
          "minimum": 103.06,
          "maximum": 7500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1158.11,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 108.21
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 103.06
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1359.47,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 915.37,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1812.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1268.83,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1132.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1323.21,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 110.27
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 960.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1132.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 149.44
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 103.06
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1404.78,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 924.44,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 860.99,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 103.06
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 103.06
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1193.93,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES - SOI : 1",
      "code_information": [
        {
          "code": "5171",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6167.66,
          "maximum": 8326.34,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6167.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6167.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6599.4,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8326.34,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6167.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6167.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6167.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc Back Les Sc 3 Cm/>",
      "code_information": [
        {
          "code": "21931",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 2113,
          "minimum": 386.08,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 405.38
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.08
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 413.11
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 559.82
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.08
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.08
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 386.08
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT",
      "code_information": [
        {
          "code": "927",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 223399,
          "minimum": 107576.1546,
          "maximum": 446798.56,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 399951.05
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 212587.83,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 223399.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 446798.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 223399.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 290419.06,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 312758.99,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 339574.2
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 279249.1,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 223399.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 404799.5,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 326162.95,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 223111.98,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 223399.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 279249.1,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 223399.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 346268.88,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 357438.85,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 214692.66,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 223399.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 223399.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 342508
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 210483,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 412320.67
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT - SOI : 1",
      "code_information": [
        {
          "code": "8411",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15021.62,
          "maximum": 20279.19,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20279.19,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15021.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15021.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15021.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15021.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15021.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16073.13,
              "additional_payer_notes": "107% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DILATION & CURETTAGE FOR NON-OBSTETRIC DIAGNOSES - SOI : 4",
      "code_information": [
        {
          "code": "5174",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 21946.19,
          "maximum": 29627.36,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21946.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21946.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23482.42,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29627.36,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21946.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21946.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21946.19,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exc Face-Mm B9+Marg 0.6-1 Cm",
      "code_information": [
        {
          "code": "11441",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8517.32,
          "discounted_cash": 906,
          "minimum": 106.81,
          "maximum": 8517.32,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1158.11,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 112.15
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.81
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1359.47,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 915.37,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1812.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1268.83,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1132.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1323.21,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.29
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 960.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1132.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 154.87
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.81
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1404.78,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 924.44,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 860.99,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.81
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 106.81
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1193.93,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS- SOI : 2",
      "code_information": [
        {
          "code": "9502",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16736.86,
          "maximum": 22594.76,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16736.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16736.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17908.44,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22594.76,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16736.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16736.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16736.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT - SOI : 4",
      "code_information": [
        {
          "code": "8414",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 173017.86,
          "maximum": 233574.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 173017.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 173017.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 185129.11,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 233574.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 173017.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 173017.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 173017.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXC FOREARM TUM DEEP < 3 CM",
      "code_information": [
        {
          "code": "25076",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 2113,
          "minimum": 180.348,
          "maximum": 6500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 180.35
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 263.42
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 356.98
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6500,
          "discounted_cash": 2113,
          "minimum": 180.348,
          "maximum": 6500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2701.1,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 180.35
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3170.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2134.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4227.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2959.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3086.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 263.42
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2240.65,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2642.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 356.98
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3276.42,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2156.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2008.13,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 246.19
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2113.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2784.64,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS- SOI : 4",
      "code_information": [
        {
          "code": "9504",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 44744.7,
          "maximum": 60405.35,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44744.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44744.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 47876.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60405.35,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44744.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44744.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44744.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE ABDOMINALTHORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA - SOI : 4",
      "code_information": [
        {
          "code": "9114",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 54718.12,
          "maximum": 73869.46,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54718.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54718.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 58548.39,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 73869.46,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54718.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54718.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54718.12,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF GALLBLADDER & BILIARY TRACT - SOI : 1",
      "code_information": [
        {
          "code": "2841",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5267.64,
          "maximum": 7111.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5267.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5267.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5636.37,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7111.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5267.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5267.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5267.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Excise Lesion Testis",
      "code_information": [
        {
          "code": "54512",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 4511,
          "minimum": 451.6,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 474.18
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 451.6
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 483.21
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 654.82
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 451.6
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 451.6
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 451.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT - SOI : 1",
      "code_information": [
        {
          "code": "7921",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12017.29,
          "maximum": 16223.34,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12017.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12017.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12858.5,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16223.34,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12017.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12017.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12017.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT",
      "code_information": [
        {
          "code": "933",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 41415,
          "minimum": 11700,
          "maximum": 82831.2,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 72948.73
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39450.4,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 41415.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 82831.2,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41415.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 53840.28,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 57981.84,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 39060.4
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 51769.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 41415.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 75045.07,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 60466.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41403.39,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 41415.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 51769.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 41415.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 64194.18,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 66264.96,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 39841,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41415.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41415.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 62472
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 39059.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 75204.88
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF GALLBLADDER & BILIARY TRACT - SOI : 2",
      "code_information": [
        {
          "code": "2842",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7392.08,
          "maximum": 9979.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7392.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7392.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7909.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9979.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7392.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7392.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7392.08,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Excision Breast Lesion",
      "code_information": [
        {
          "code": "19125",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18750,
          "discounted_cash": 5011,
          "minimum": 344.99,
          "maximum": 18750,
          "payers_information": [
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6601.53,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6403.48,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 362.24
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.99
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7516.83,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5061.33,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10022.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7015.71,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6264.03,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7316.38,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.14
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5311.89,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6264.03,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 500.24
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.99
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7767.39,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5111.44,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4760.66,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.99
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 344.99
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5011.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT - SOI : 4",
      "code_information": [
        {
          "code": "7924",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 38747.72,
          "maximum": 52309.42,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38747.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38747.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41460.06,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52309.42,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38747.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38747.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38747.72,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS- SOI : 1",
      "code_information": [
        {
          "code": "9501",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12415.89,
          "maximum": 16761.45,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12415.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12415.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13285,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16761.45,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12415.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12415.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12415.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF GALLBLADDER & BILIARY TRACT - SOI : 4",
      "code_information": [
        {
          "code": "2844",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17059.13,
          "maximum": 23029.83,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17059.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17059.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18253.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23029.83,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17059.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17059.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17059.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Excision Of Anal Lesion(S)",
      "code_information": [
        {
          "code": "46922",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12305.9,
          "discounted_cash": 3552,
          "minimum": 136.71,
          "maximum": 12305.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4539.45,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.55
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 136.71
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5328.71,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3587.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7104.94,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4973.46,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4440.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5186.61,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.28
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3765.62,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4440.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 198.23
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 136.71
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5506.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3623.52,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3374.85,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 136.71
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 136.71
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3552.47,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4679.85,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT- SOI : 1",
      "code_information": [
        {
          "code": "8431",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4519.21,
          "maximum": 6100.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4519.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4519.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4835.55,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6100.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4519.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4519.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4519.21,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT - SOI : 2",
      "code_information": [
        {
          "code": "7922",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15308.9,
          "maximum": 20667.01,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15308.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15308.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16380.52,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20667.01,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15308.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15308.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15308.9,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PANCREAS EXCEPT MALIGNANCY - SOI : 3",
      "code_information": [
        {
          "code": "2823",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9386.13,
          "maximum": 12671.28,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9386.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9386.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10043.16,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12671.28,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9386.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9386.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9386.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Excision Olecranon Bursa",
      "code_information": [
        {
          "code": "24105",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 4187,
          "minimum": 290.51,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.04
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 290.51
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6281.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8375.42,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 310.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 421.24
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 290.51
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6490.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 290.51
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 290.51
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTERNAL HEART ASSIST SYSTEMS- SOI : 1",
      "code_information": [
        {
          "code": "1781",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 39720.89,
          "maximum": 53623.2,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39720.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39720.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 42501.35,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53623.2,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39720.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39720.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39720.89,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTERNAL HEART ASSIST SYSTEMS- SOI : 3",
      "code_information": [
        {
          "code": "1783",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 53704.67,
          "maximum": 72501.3,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53704.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53704.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 57464,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 72501.3,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53704.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53704.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 53704.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PANCREAS EXCEPT MALIGNANCY - SOI : 4",
      "code_information": [
        {
          "code": "2824",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 20005.15,
          "maximum": 27006.95,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20005.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20005.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21405.51,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27006.95,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20005.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20005.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20005.15,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Exploration of knee joint",
      "code_information": [
        {
          "code": "27310",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6125,
          "discounted_cash": 4187,
          "minimum": 725.75,
          "maximum": 6125,
          "payers_information": [
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6125,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6125,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 776.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1052.34
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6125,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 762.04
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 6125,
          "discounted_cash": 4187,
          "minimum": 725.75,
          "maximum": 6125,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 762.04
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6125,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6125,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 776.55
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1052.34
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6125,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 725.75
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTERNAL HEART ASSIST SYSTEMS- SOI : 2",
      "code_information": [
        {
          "code": "1782",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 43293.42,
          "maximum": 58446.12,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43293.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43293.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 46323.96,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 58446.12,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43293.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43293.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 43293.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)- SOI : 2",
      "code_information": [
        {
          "code": "0092",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 60423.58,
          "maximum": 81571.83,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60423.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60423.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 64653.23,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 81571.83,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60423.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60423.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 60423.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF PERSONALITY & IMPULSE CONTROL - SOI : 2",
      "code_information": [
        {
          "code": "7522",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3671.13,
          "maximum": 4956.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3671.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3671.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3928.11,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4956.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3671.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3671.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3671.13,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT - SOI : 2",
      "code_information": [
        {
          "code": "8412",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 27312.42,
          "maximum": 36871.77,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27312.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27312.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29224.29,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 36871.77,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27312.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27312.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27312.42,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)- SOI : 3",
      "code_information": [
        {
          "code": "0093",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 110110.47,
          "maximum": 148649.13,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 110110.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 110110.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 117818.2,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 148649.13,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 110110.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 110110.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 110110.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRACRANIAL PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "039",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 13072,
          "minimum": 5400,
          "maximum": 26145.78,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19189.32
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12485.42,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 13072.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26145.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13072.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 16994.76,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18302.05,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 18810.04
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 16341.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 13072.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23688.08,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19086.42,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13103.51,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 13072.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16341.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13072.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20262.98,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20916.62,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 12609.04,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13072.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13072.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 21295.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 12361.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 19782.8
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF THE BILIARY TRACT WITH MCC",
      "code_information": [
        {
          "code": "444",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 18237,
          "minimum": 15755.31,
          "maximum": 36474.96,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28397.89
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17398.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 18237.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36474.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18237.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23708.72,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25532.47,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15755.31
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22796.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 18237.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33046.31,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26626.72,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18260.3,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 18237.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22796.85,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18237.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28268.09,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29179.97,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17571.23,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18237.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18237.48,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 17417.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17226.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 29276.18
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE ABDOMINALTHORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA - SOI : 1",
      "code_information": [
        {
          "code": "9111",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15548.49,
          "maximum": 20990.46,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15548.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15548.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16636.88,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20990.46,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15548.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15548.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15548.49,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EYE INFECTIONS AND OTHER EYE DISORDERS - SOI : 1",
      "code_information": [
        {
          "code": "0821",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4419.56,
          "maximum": 5966.41,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4728.93,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5966.41,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES - SOI : 1",
      "code_information": [
        {
          "code": "0921",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11178.75,
          "maximum": 15091.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11178.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11178.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11961.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15091.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11178.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11178.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11178.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DISORDERS OF THE BILIARY TRACT WITHOUT CCMCC",
      "code_information": [
        {
          "code": "446",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9442,
          "minimum": 8712.18,
          "maximum": 18885.74,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13441.96
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9031.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9442.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18885.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9442.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12275.73,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13220.02,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8928.59
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11803.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9442.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17110.48,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13786.59,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9478.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9442.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11803.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9442.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14636.45,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15108.59,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9121.24,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9442.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9442.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8712.18
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8942.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13857.69
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE ABDOMINALTHORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA - SOI : 3",
      "code_information": [
        {
          "code": "9113",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 29241.8,
          "maximum": 39476.43,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29241.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29241.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 31288.73,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39476.43,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29241.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29241.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29241.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EYE INFECTIONS AND OTHER EYE DISORDERS - SOI : 2",
      "code_information": [
        {
          "code": "0822",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5772.24,
          "maximum": 7792.52,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5772.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5772.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6176.3,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7792.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5772.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5772.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5772.24,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM INFECTIONS - SOI : 3",
      "code_information": [
        {
          "code": "5313",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8474.44,
          "maximum": 11440.49,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8474.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8474.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9067.65,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11440.49,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8474.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8474.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8474.44,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIVERTICULITIS & DIVERTICULOSIS - SOI : 2",
      "code_information": [
        {
          "code": "2442",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5831.61,
          "maximum": 7872.67,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5831.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5831.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6239.82,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7872.67,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5831.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5831.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5831.61,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC",
      "code_information": [
        {
          "code": "981",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 49730,
          "minimum": 36872.583,
          "maximum": 99461.32,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 80147.68
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 47361.32,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 49730.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 99461.32,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 49730.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 64649.86,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 69622.92,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 60458.6
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 62163.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 49730.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 90111.96,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 72606.76,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49705.94,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 49730.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 62163.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 49730.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 77082.52,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 79569.06,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 47830.25,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 49730.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 49730.66,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 72811.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 46892.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 82626.47
            }
          ]
        }
      ]
    },
    {
      "description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES - SOI : 2",
      "code_information": [
        {
          "code": "0922",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14154.46,
          "maximum": 19108.52,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19108.52,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14154.46,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15145.27,
              "additional_payer_notes": "107% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM INFECTIONS - SOI : 4",
      "code_information": [
        {
          "code": "5314",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15745.67,
          "maximum": 21256.65,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15745.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15745.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16847.87,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21256.65,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15745.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15745.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15745.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DIVERTICULITIS & DIVERTICULOSIS - SOI : 3",
      "code_information": [
        {
          "code": "2443",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8730.98,
          "maximum": 11786.82,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8730.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8730.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9342.15,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11786.82,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8730.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8730.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8730.98,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT- SOI : 3",
      "code_information": [
        {
          "code": "8433",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11688.66,
          "maximum": 15779.69,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11688.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11688.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12506.87,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15779.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11688.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11688.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11688.66,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES",
      "code_information": [
        {
          "code": "748",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15280,
          "minimum": 6300,
          "maximum": 38508.8648,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22967.5
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14586.12,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15280.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30561.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15280.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 19865.2,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21393.29,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20367.58
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19101.15,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15280.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27689.03,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22310.14,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15308.2,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15280.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19101.15,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15280.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23685.43,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24449.47,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 14730.53,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15280.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15280.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 25081.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14441.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23677.83
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC EXCEPT FOR CURVATURE OF BACK - SOI : 4",
      "code_information": [
        {
          "code": "3044",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 54426.59,
          "maximum": 73475.9,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54426.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54426.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 58236.45,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 73475.9,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54426.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54426.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 54426.59,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT- SOI : 4",
      "code_information": [
        {
          "code": "8434",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 16967.96,
          "maximum": 22906.75,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16967.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16967.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18155.72,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22906.75,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16967.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16967.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16967.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM INFECTIONS - SOI : 1",
      "code_information": [
        {
          "code": "5311",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4150.29,
          "maximum": 5602.89,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4150.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4150.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4440.81,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5602.89,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4150.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4150.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4150.29,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES - SOI : 3",
      "code_information": [
        {
          "code": "5143",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15285.58,
          "maximum": 20635.53,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15285.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15285.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16355.57,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20635.53,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15285.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15285.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15285.58,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK - SOI : 1",
      "code_information": [
        {
          "code": "3031",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 32600.2,
          "maximum": 44010.27,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32600.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32600.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34882.21,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44010.27,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32600.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32600.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 32600.2,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTERNAL HEART ASSIST SYSTEMS- SOI : 4",
      "code_information": [
        {
          "code": "1784",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 66228.69,
          "maximum": 89408.73,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66228.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66228.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 70864.7,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 89408.73,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66228.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66228.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 66228.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM INFECTIONS - SOI : 2",
      "code_information": [
        {
          "code": "5312",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5424.53,
          "maximum": 7323.12,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5424.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5424.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5804.25,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7323.12,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5424.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5424.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5424.53,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DORSAL & LUMBAR FUSION PROC FOR CURVATURE OF BACK - SOI : 4",
      "code_information": [
        {
          "code": "3034",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 74045.86,
          "maximum": 99961.91,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74045.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74045.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 79229.07,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 99961.91,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74045.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74045.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 74045.86,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRAOCULAR PROCEDURES EXCEPT ORBIT",
      "code_information": [
        {
          "code": "115",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 16819,
          "minimum": 15891.1,
          "maximum": 33639.34,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25811.67
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16050.01,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 16819.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33639.34,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16819.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 21865.57,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23547.54,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 20154.03
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21024.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 16819.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 30477.24,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24556.72,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16844.57,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 16819.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21024.59,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16819.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26070.49,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26911.47,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16208.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16819.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16819.67,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 30287.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15891.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26609.97
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM MALIGNANCY - SOI : 1",
      "code_information": [
        {
          "code": "5301",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4830.88,
          "maximum": 6521.69,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6521.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4830.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4830.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4830.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4830.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4830.88,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5169.04,
              "additional_payer_notes": "107% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEVER AND INFLAMMATORY CONDITIONS",
      "code_information": [
        {
          "code": "864",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10072,
          "minimum": 8215.31,
          "maximum": 22471.5034,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15139.7
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9630.89,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10072.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20145.08,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10072.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13094.3,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14101.56,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8658.17
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12590.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10072.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18251.44,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14705.91,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10107.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10072.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12590.68,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10072.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15612.44,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16116.06,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9726.24,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10072.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10072.54,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8215.31
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9535.53,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15607.94
            }
          ]
        }
      ]
    },
    {
      "description": "Drain Bl W/Cath Insertion",
      "code_information": [
        {
          "code": "51102",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12500,
          "discounted_cash": 2675,
          "minimum": 275.5,
          "maximum": 12500,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3418.72,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 289.28
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 275.5
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4013.12,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2702.16,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5350.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3745.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3906.1,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 294.79
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2835.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3344.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 399.48
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 275.5
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4146.89,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2728.92,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2541.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 275.5
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 275.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2675.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3524.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE",
      "code_information": [
        {
          "code": "790",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 62779,
          "minimum": 8091.79,
          "maximum": 125559.52,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 100225.48
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59776.04,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 62779.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 125559.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 62779.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 81613.69,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 87891.66,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 8091.79
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 78474.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 62779.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 113756.93,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 91658.45,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 62735.25,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 62779.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 78474.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 62779.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 97308.63,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 100447.62,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 60367.88,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62779.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 62779.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9553.74
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 59184.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 103325.24
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM MALIGNANCY - SOI : 2",
      "code_information": [
        {
          "code": "5302",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6392.4,
          "maximum": 8629.74,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6392.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6392.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6839.87,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8629.74,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6392.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6392.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6392.4,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEVER AND INFLAMMATORY CONDITIONS- SOI : 2",
      "code_information": [
        {
          "code": "7222",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4749.25,
          "maximum": 6411.49,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4749.25,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4749.25,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5081.7,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6411.49,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4749.25,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4749.25,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4749.25,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Drain/Inj Joint/Bursa W/O Us - 20605 - OR36020605",
      "code_information": [
        {
          "code": "20605",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17806.7,
          "discounted_cash": 392,
          "minimum": 54.46,
          "maximum": 17806.7,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 502.01,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.18
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.46
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.29,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 396.79,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 785.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 550,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 491.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 573.58,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.27
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 416.43,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 491.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.97
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.46
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 608.93,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 400.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 373.22,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.46
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.46
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 517.53,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EYE INFECTIONS AND OTHER EYE DISORDERS - SOI : 3",
      "code_information": [
        {
          "code": "0823",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8121.43,
          "maximum": 10963.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8121.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8121.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8689.93,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10963.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8121.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8121.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8121.43,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES - SOI : 1",
      "code_information": [
        {
          "code": "5141",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7944.39,
          "maximum": 10724.93,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7944.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7944.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8500.5,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10724.93,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7944.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7944.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7944.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEVER AND INFLAMMATORY CONDITIONS- SOI : 3",
      "code_information": [
        {
          "code": "7223",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6444.35,
          "maximum": 8699.87,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6444.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6444.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6895.45,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8699.87,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6444.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6444.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6444.35,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Drain/Inj Joint/Bursa W/O Us - 20610 - OR36020610",
      "code_information": [
        {
          "code": "20610",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 11750,
          "discounted_cash": 392,
          "minimum": 65.68,
          "maximum": 11750,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 502.01,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.96
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.68
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.29,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 396.79,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 785.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 550,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 491.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 573.58,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 70.28
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 416.43,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 491.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.24
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.68
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 608.93,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 400.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 373.22,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.68
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.68
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 517.53,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EYE INFECTIONS AND OTHER EYE DISORDERS - SOI : 4",
      "code_information": [
        {
          "code": "0824",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14031.48,
          "maximum": 18942.5,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14031.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14031.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15013.68,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18942.5,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14031.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14031.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14031.48,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES - SOI : 4",
      "code_information": [
        {
          "code": "5144",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 28211.38,
          "maximum": 38085.36,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28211.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28211.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30186.18,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 38085.36,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28211.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28211.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28211.38,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Fixation Of Knee Joint",
      "code_information": [
        {
          "code": "27570",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 13000,
          "discounted_cash": 2058,
          "minimum": 111.61,
          "maximum": 13000,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2629.78,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 117.19
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.61
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3087.02,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2078.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4116.02,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2881.21,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2572.51,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3004.69,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 119.42
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2181.49,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2572.51,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 161.83
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.61
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3189.92,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2099.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1955.11,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.61
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.61
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2058.01,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2711.12,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE - SOI : 3",
      "code_information": [
        {
          "code": "7703",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5481.78,
          "maximum": 7400.4,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5481.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5481.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5865.5,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7400.4,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5481.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5481.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5481.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES - SOI : 3",
      "code_information": [
        {
          "code": "0923",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 21195.64,
          "maximum": 28614.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21195.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21195.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22679.33,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 28614.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21195.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21195.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21195.64,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEVER AND INFLAMMATORY CONDITIONS- SOI : 1",
      "code_information": [
        {
          "code": "7221",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 3387.02,
          "maximum": 4572.48,
          "payers_information": [
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3387.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3624.11,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4572.48,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3387.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3387.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3387.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 3387.02,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Fna Bx W/Us Gdn 1St Les",
      "code_information": [
        {
          "code": "10005",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1718.55,
          "discounted_cash": 906,
          "minimum": 111.69,
          "maximum": 3707.67,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1158.11,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 117.27
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.69
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1359.47,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 915.37,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1718.55,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1268.83,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1132.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1323.21,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 119.51
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 960.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1132.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 161.95
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.69
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1404.78,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 924.44,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 860.99,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.69
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.69
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 906.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1193.93,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "DYSEQUILIBRIUM",
      "code_information": [
        {
          "code": "149",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8653,
          "minimum": 8199,
          "maximum": 17730.6356,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12602.37
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8280.99,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8653.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17307.38,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8653.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11249.8,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12115.17,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9808.33
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10817.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8653.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15680.49,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12634.39,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8690.94,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8653.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10817.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8653.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13413.22,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13845.9,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8362.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8653.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8653.69,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9989.48
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8199,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 12992.13
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM MALIGNANCY - SOI : 3",
      "code_information": [
        {
          "code": "5303",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9625.71,
          "maximum": 12994.71,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9625.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9625.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10299.51,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12994.71,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9625.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9625.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9625.71,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FOOT PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "505",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 19508,
          "minimum": 18000,
          "maximum": 39016.6,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 29588.16
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18607.94,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 19508.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39016.6,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19508.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 25360.79,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27311.62,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 25138.86
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24385.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 19508.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35349.04,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 28482.12,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19529.12,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 19508.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24385.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19508.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 30237.87,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31213.28,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 18792.17,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19508.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19508.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 18649.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18423.7,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30503.26
            }
          ]
        }
      ]
    },
    {
      "description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES - SOI : 2",
      "code_information": [
        {
          "code": "1102",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6936.23,
          "maximum": 9363.91,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6936.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6936.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7421.77,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9363.91,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6936.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6936.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6936.23,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM MALIGNANCY - SOI : 4",
      "code_information": [
        {
          "code": "5304",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14427.96,
          "maximum": 19477.75,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14427.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14427.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15437.92,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19477.75,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14427.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14427.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14427.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF PELVIS OR DISLOCATION OF HIP - SOI : 2",
      "code_information": [
        {
          "code": "3412",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5488.14,
          "maximum": 7408.99,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5488.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5488.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5872.31,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7408.99,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5488.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5488.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5488.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE HIP JOINT REPLACEMENT- SOI : 3",
      "code_information": [
        {
          "code": "3243",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 19651.07,
          "maximum": 26528.94,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19651.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19651.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21026.64,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26528.94,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19651.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19651.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19651.07,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES - SOI : 2",
      "code_information": [
        {
          "code": "5142",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11619.76,
          "maximum": 15686.68,
          "payers_information": [
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11619.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12433.14,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15686.68,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11619.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11619.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11619.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11619.76,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FOOT & TOE PROCEDURES - SOI : 1",
      "code_information": [
        {
          "code": "3141",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8097.04,
          "maximum": 10931,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8097.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8097.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8663.83,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10931,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8097.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8097.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8097.04,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF PELVIS OR DISLOCATION OF HIP - SOI : 3",
      "code_information": [
        {
          "code": "3413",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8036.62,
          "maximum": 10849.44,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8036.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8036.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8599.18,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10849.44,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8036.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8036.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8036.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE KNEE JOINT REPLACEMENT- SOI : 2",
      "code_information": [
        {
          "code": "3262",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 12960.78,
          "maximum": 17497.05,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12960.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12960.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13868.03,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17497.05,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12960.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12960.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12960.78,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC",
      "code_information": [
        {
          "code": "562",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 15671,
          "minimum": 13430.709,
          "maximum": 31343.72,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24673.66
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14958,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 15671.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31343.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15671.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 20373.42,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21940.6,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 13742.81
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 19589.83,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 15671.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28397.41,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22880.92,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15698.49,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 15671.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19589.83,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 15671.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24291.38,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25074.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15106.1,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15671.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15671.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16926.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14809.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25436.77
            }
          ]
        }
      ]
    },
    {
      "description": "ELECTIVE KNEE JOINT REPLACEMENT- SOI : 3",
      "code_information": [
        {
          "code": "3263",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18607.94,
          "maximum": 25120.72,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18607.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18607.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19910.5,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25120.72,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18607.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18607.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18607.94,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF PELVIS OR DISLOCATION OF HIP - SOI : 1",
      "code_information": [
        {
          "code": "3411",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4419.56,
          "maximum": 5966.41,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4728.93,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5966.41,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4419.56,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK - SOI : 3",
      "code_information": [
        {
          "code": "3423",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8404.47,
          "maximum": 11346.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8404.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8404.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8992.78,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11346.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8404.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8404.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8404.47,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "ENDOCRINE DISORDERS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "645",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8827,
          "minimum": 6031.7,
          "maximum": 70511.5972,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13128.38
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8446.63,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17655.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11476.11,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12358.89,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6031.7
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11034.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15995.94,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12888.56,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8864.78,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11034.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13683.06,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14124.45,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8530.26,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8827.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6698.67
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8363,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13534.41
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK - SOI : 1",
      "code_information": [
        {
          "code": "3421",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4320.97,
          "maximum": 5833.31,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4320.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4320.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4623.44,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5833.31,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4320.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4320.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4320.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES OF FEMUR WITHOUT MCC",
      "code_information": [
        {
          "code": "534",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9221,
          "minimum": 6677,
          "maximum": 19227.436,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13723.51
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8821.54,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9221.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18443.7,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9221.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11988.41,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12910.59,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6677
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11527.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9221.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16709.99,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13463.9,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9258.25,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9221.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11527.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9221.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14293.87,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14754.96,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8908.88,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9221.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9221.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 6753.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8734.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14147.95
            }
          ]
        }
      ]
    },
    {
      "description": "FOOT & TOE PROCEDURES - SOI : 3",
      "code_information": [
        {
          "code": "3143",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15322.69,
          "maximum": 20685.63,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15322.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15322.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16395.28,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20685.63,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15322.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15322.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15322.69,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK - SOI : 2",
      "code_information": [
        {
          "code": "3422",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5791.33,
          "maximum": 7818.3,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5791.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5791.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6196.72,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7818.3,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5791.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5791.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5791.33,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES OF HIP AND PELVIS WITH MCC",
      "code_information": [
        {
          "code": "535",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 14183,
          "minimum": 12112.3848,
          "maximum": 28366.32,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 22421.25
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13541.68,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 14183.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28366.32,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14183.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 18438.11,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19856.42,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 16704.69
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17728.95,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 14183.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25699.89,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20707.41,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14212.06,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 14183.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17728.95,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14183.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21983.9,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22693.06,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 13675.75,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14183.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 14183.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 19201.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 13407.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 23114.69
            }
          ]
        }
      ]
    },
    {
      "description": "FOOT & TOE PROCEDURES - SOI : 4",
      "code_information": [
        {
          "code": "3144",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 25759.37,
          "maximum": 34775.15,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25759.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25759.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27562.53,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34775.15,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25759.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25759.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25759.37,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK - SOI : 4",
      "code_information": [
        {
          "code": "3424",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 15077.8,
          "maximum": 20355.03,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15077.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15077.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16133.25,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20355.03,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15077.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15077.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15077.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY",
      "code_information": [
        {
          "code": "934",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 23863,
          "minimum": 4734.6,
          "maximum": 47727.82,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 36176.8
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22751.87,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 23863.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47727.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 23863.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 31023.08,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33409.47,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7524.25
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 29829.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 23863.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 43241.4,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34841.31,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23878.2,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 23863.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29829.89,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23863.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 36989.06,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38182.26,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 22977.13,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 23863.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 23863.91,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 4734.6
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 22526.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 37295.67
            }
          ]
        }
      ]
    },
    {
      "description": "FOOT PROCEDURES WITH CC",
      "code_information": [
        {
          "code": "504",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 20304,
          "minimum": 18000,
          "maximum": 40609.56,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 29588.16
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19365.74,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 20304.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 40609.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20304.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 26396.21,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28426.69,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 25555.52
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25380.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 20304.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36792.26,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29644.98,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20324.44,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 20304.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25380.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20304.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 31472.41,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32487.65,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 19557.48,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20304.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20304.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 24757.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19174,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30503.26
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES OF HIP AND PELVIS WITHOUT MCC",
      "code_information": [
        {
          "code": "536",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9237,
          "minimum": 7931.62,
          "maximum": 18474.98,
          "payers_information": [
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9273.87,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11546.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14318.11,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14779.98,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8923.91,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8289.45
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 14094.07
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13671.25
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8836.42,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18474.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 12008.74,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12932.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7931.62
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11546.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16738.33,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13486.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8748.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTRIC FUNDOPLICATION - SOI : 1",
      "code_information": [
        {
          "code": "2321",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9808.05,
          "maximum": 13240.87,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9808.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9808.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10494.61,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13240.87,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9808.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9808.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9808.05,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF FEMUR - SOI : 3",
      "code_information": [
        {
          "code": "3403",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7442.96,
          "maximum": 10048,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7442.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7442.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7963.97,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10048,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7442.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7442.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7442.96,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FULL TERM NEONATE WITH MAJOR PROBLEMS",
      "code_information": [
        {
          "code": "793",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 44286,
          "minimum": 14311.5,
          "maximum": 88573.36,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 70311.93
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 42181.94,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 44286.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 88573.36,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 44286.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 57572.68,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62001.35,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 54227.28
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 55358.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 44286.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 80247.46,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 64658.55,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 44270.16,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 44286.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 55358.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 44286.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 68644.35,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 70858.69,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 42599.59,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 44286.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 44286.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 60213.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 41764.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 72486.53
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL HEMORRHAGE WITH CC",
      "code_information": [
        {
          "code": "378",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11042,
          "minimum": 10216.87,
          "maximum": 22084.16,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 16621.64
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10553.29,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11042.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22084.16,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11042.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14354.7,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 15458.91,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 10216.87
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13802.6,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11042.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20008.25,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16121.44,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11075.73,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11042.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13802.6,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11042.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17115.22,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17667.33,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 10657.78,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11042.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11042.08,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 11376
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10448.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17135.71
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF FEMUR - SOI : 4",
      "code_information": [
        {
          "code": "3404",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11119.39,
          "maximum": 15011.18,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11119.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11119.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11897.75,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15011.18,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11119.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11119.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11119.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTRIC FUNDOPLICATION - SOI : 3",
      "code_information": [
        {
          "code": "2323",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 17865.87,
          "maximum": 24118.92,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17865.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17865.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19116.48,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24118.92,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17865.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17865.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17865.87,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY - SOI : 4",
      "code_information": [
        {
          "code": "2464",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 13256.55,
          "maximum": 17896.34,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13256.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13256.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14184.51,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17896.34,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13256.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13256.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 13256.55,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC",
      "code_information": [
        {
          "code": "563",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 10153,
          "minimum": 9002.87,
          "maximum": 23150.9128,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15068.89
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9708.24,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 10153.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20307.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10153.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 13200.02,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14215.4,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 9002.87
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 12692.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 10153.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18398.79,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14824.64,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10188.85,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 10153.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 12692.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10153.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 15738.48,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16246.18,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 9804.36,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10153.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10153.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 9566.75
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9612.12,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 15534.94
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL HEMORRHAGE WITH MCC",
      "code_information": [
        {
          "code": "377",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 19875,
          "minimum": 17145.72,
          "maximum": 39750.52,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 30653.68
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18957.09,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 39750.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 25837.84,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27825.36,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 17145.72
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 24844.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 36013.97,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29017.88,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19895.56,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 24844.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 30806.65,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31800.42,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 19144.79,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 22035.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18769.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 31601.73
            }
          ]
        }
      ]
    },
    {
      "description": "ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC",
      "code_information": [
        {
          "code": "392",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 8945,
          "minimum": 7700.66,
          "maximum": 17891.18,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13155.35
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8558.71,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 8945.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17891.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8945.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11629.27,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12523.83,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 7700.66
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11181.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 8945.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16209.41,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13060.56,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8982.41,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 8945.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11181.99,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8945.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 13865.66,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14312.94,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8643.45,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 8945.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8945.59,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8388.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8473.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13562.22
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURES OF FEMUR WITH MCC",
      "code_information": [
        {
          "code": "533",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17161,
          "minimum": 12089.8878,
          "maximum": 34323.22,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25708.83
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16375.33,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17161.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34323.22,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17161.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 22310.09,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24026.25,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 21017.52
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21452.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17161.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31096.84,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25055.95,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17185.99,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17161.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21452.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17161.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26600.5,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27458.58,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16537.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17161.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17161.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 22015.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26503.95
            }
          ]
        }
      ]
    },
    {
      "description": "EXC ARMELBOW LES SC 3 CM>",
      "code_information": [
        {
          "code": "24071",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 8750,
          "discounted_cash": 3717,
          "minimum": 334.7,
          "maximum": 8750,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4750.5,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 351.44
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5576.45,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3754.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7435.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5204.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5427.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 358.13
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3940.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 485.32
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5762.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3791.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3531.75,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4897.42,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        },
        {
          "setting": "outpatient",
          "gross_charge": 8750,
          "discounted_cash": 3717,
          "minimum": 334.7,
          "maximum": 8750,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4750.5,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 351.44
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5576.45,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3754.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7435.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5204.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5427.74,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 358.13
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3940.69,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4647.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 485.32
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5762.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3791.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3531.75,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 334.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3717.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4897.42,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Fragmenting Of Kidney Stone",
      "code_information": [
        {
          "code": "50590",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 12284.6,
          "discounted_cash": 4511,
          "minimum": 961.25,
          "maximum": 12284.6,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5764.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1009.31
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6767.24,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4556.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9022.98,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6316.09,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6586.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1028.54
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4782.18,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5639.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1393.81
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6992.81,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4601.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4285.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 961.25
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4511.49,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5943.21,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "HAND & WRIST PROCEDURES - SOI : 2",
      "code_information": [
        {
          "code": "3162",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9594.97,
          "maximum": 12953.21,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10266.62,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12953.21,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9594.97,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "HAND & WRIST PROCEDURES - SOI : 3",
      "code_information": [
        {
          "code": "3163",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14722.67,
          "maximum": 19875.6,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14722.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14722.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15753.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19875.6,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14722.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14722.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14722.67,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE 3RD DEGREE BURNS W SKIN GRAFT - SOI : 3",
      "code_information": [
        {
          "code": "8413",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 52320.18,
          "maximum": 70632.24,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52320.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52320.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 55982.59,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 70632.24,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52320.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52320.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52320.18,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CCMCC",
      "code_information": [
        {
          "code": "929",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 34395,
          "minimum": 22662.3,
          "maximum": 68790.68,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 53619.49
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32771.37,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 34395.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 68790.68,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 34395.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 44713.94,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 48153.48,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 25345.45
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 42994.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 34395.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 62324.36,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 50217.2,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34393.71,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 34395.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 42994.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 34395.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 53312.78,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 55032.54,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 33095.84,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34395.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 34395.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 22662.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 32446.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 55277.82
            }
          ]
        }
      ]
    },
    {
      "description": "Hc  Activity Therapy, Per 15 Min",
      "code_information": [
        {
          "code": "H2032",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 408,
          "minimum": 45.64,
          "maximum": 408,
          "payers_information": [
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "HAND & WRIST PROCEDURES - SOI : 4",
      "code_information": [
        {
          "code": "3164",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 24919.77,
          "maximum": 33641.69,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24919.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24919.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26664.15,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 33641.69,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24919.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24919.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24919.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE ABDOMINALTHORACIC PROCEDURES FOR MULT SIGNIFICANT TRAUMA - SOI : 2",
      "code_information": [
        {
          "code": "9112",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 18876.14,
          "maximum": 25482.79,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18876.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18876.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 20197.47,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 25482.79,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18876.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18876.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18876.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS- SOI : 3",
      "code_information": [
        {
          "code": "9503",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 26055.14,
          "maximum": 35174.44,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26055.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26055.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27879,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35174.44,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26055.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26055.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26055.14,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL OBSTRUCTION WITHOUT CCMCC",
      "code_information": [
        {
          "code": "390",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 6489,
          "minimum": 5324.89,
          "maximum": 12978.86,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 9225.44
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6221.94,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 6489.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12978.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6489.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 8436.26,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9085.2,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 5324.89
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 8111.79,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 6489.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11758.85,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9474.57,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6529.96,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 6489.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 8111.79,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 6489.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 10058.62,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10383.09,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 6283.55,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 6489.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6489.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 5567.06
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 6160.34,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 9510.76
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC",
      "code_information": [
        {
          "code": "982",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 26448,
          "minimum": 18450,
          "maximum": 52896.58,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 41276.75
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 25210.61,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 26448.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 52896.58,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 26448.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 34382.78,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37027.61,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 30878.08
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33060.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 26448.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47924.3,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 38614.5,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26458.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 26448.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 33060.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26448.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 40994.85,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42317.26,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 25460.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26448.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 26448.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 30918
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 24961,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 42553.35
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY - SOI : 2",
      "code_information": [
        {
          "code": "2462",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 6330.92,
          "maximum": 8546.74,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6330.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6330.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6774.08,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8546.74,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6330.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6330.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6330.92,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CCMCC",
      "code_information": [
        {
          "code": "983",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 18686,
          "minimum": 9000,
          "maximum": 51419.1432,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28124.77
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17826.4,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 18686.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 37373.6,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 18686.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 24292.84,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 26161.52,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15655.5
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 23358.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 18686.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 33860.48,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 27282.73,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18708.89,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 18686.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23358.5,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 18686.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 28964.54,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29898.88,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 18002.9,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18686.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 18686.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16519.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17649.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28994.61
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT - SOI : 3",
      "code_information": [
        {
          "code": "7923",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 22449.74,
          "maximum": 30307.15,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22449.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22449.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 24021.22,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 30307.15,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22449.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22449.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 22449.74,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CCMCC",
      "code_information": [
        {
          "code": "513",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17230,
          "minimum": 15332.4554,
          "maximum": 34460.82,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25383.44
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16440.78,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17230.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34460.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17230.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 22399.53,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24122.57,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 18830.93
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 21538.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17230.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 31221.5,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25156.4,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17254.68,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17230.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21538.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17230.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26707.14,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 27568.66,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 16603.56,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17230.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17230.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 20213.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16278,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 26168.5
            }
          ]
        }
      ]
    },
    {
      "description": "Hc (Sup Shell A4213) 20+ Cc Syringe Only",
      "code_information": [
        {
          "code": "A4213",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 51,
              "standard_charge_algorithm": "Not To Exceed $4132",
              "additional_payer_notes": "Not to exceed limits in contract for this procedure",
              "median_amount": 2.48,
              "10th_percentile": 2.48,
              "90th_percentile": 2.48,
              "count": "1 through 10"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT- SOI : 2",
      "code_information": [
        {
          "code": "8432",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5940.8,
          "maximum": 8020.08,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8020.08,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5940.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5940.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5940.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5940.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5940.8,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6356.66,
              "additional_payer_notes": "107% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "HAND PROCEDURES FOR INJURIES",
      "code_information": [
        {
          "code": "906",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 21296,
          "minimum": 14400,
          "maximum": 57581.8214,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 36795.54
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20308.98,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 21296.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 42592.4,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 21296.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 27685.06,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29814.68,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 14859.32
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 26620.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 21296.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 38588.71,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 31092.45,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21314.37,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 21296.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 26620.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 21296.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 33009.11,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 34073.92,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 20510.06,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 21296.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 21296.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 24216.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 20107.9,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 37933.54
            }
          ]
        }
      ]
    },
    {
      "description": "Hc (Sup Shell A4215) Sterile Needle",
      "code_information": [
        {
          "code": "A4215",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 51,
              "standard_charge_algorithm": "Not To Exceed $4132",
              "additional_payer_notes": "Not to exceed limits in contract for this procedure",
              "median_amount": 15.63,
              "10th_percentile": 15.63,
              "90th_percentile": 15.63,
              "count": "1 through 10"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)- SOI : 1",
      "code_information": [
        {
          "code": "0091",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 48887.57,
          "maximum": 65998.22,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48887.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48887.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52309.7,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 65998.22,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48887.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48887.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 48887.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc  Actinotherapy Ultraviolet Light",
      "code_information": [
        {
          "code": "96900",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 251.64,
          "discounted_cash": 47,
          "minimum": 10.61,
          "maximum": 251.64,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.07,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.14
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.61
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 251.64,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 251.64,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 95.58,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 66.91,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.77,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.35
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.66,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.74,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.38
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.61
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 74.07,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.75,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.4,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.61
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.61
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.79,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.96,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)- SOI : 4",
      "code_information": [
        {
          "code": "0094",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 194638.6,
          "maximum": 262762.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 194638.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 194638.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 208263.3,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 262762.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 194638.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 194638.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 194638.6,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc  Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl",
      "code_information": [
        {
          "code": "93980",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1678,
          "discounted_cash": 133,
          "minimum": 127.11,
          "maximum": 1678,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 170.97,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 249.45
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.3
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 200.7,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 135.14,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 267.6,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 187.32,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 167.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 195.35,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 177.94
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.83,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 167.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 241.14
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.3
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.39,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 136.48,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 127.11,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.3
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 166.3
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 133.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 176.26,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRACRANIAL PROCEDURES WITH CC",
      "code_information": [
        {
          "code": "038",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 17733,
          "minimum": 8550,
          "maximum": 35467.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 27165.48
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16919.92,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 17733.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35467.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 17733.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 23054.14,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 24827.53,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 22059.75
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 22167.44,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 17733.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32133.92,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 25891.57,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17757.54,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 17733.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 22167.44,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 17733.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 27487.62,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 28374.32,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 17087.45,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 17733.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 17733.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 26062.4
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16752.4,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 28005.64
            }
          ]
        }
      ]
    },
    {
      "description": "EXTRACRANIAL PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "037",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 35138,
          "minimum": 22050,
          "maximum": 70277.3,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 55988.22
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33478.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 35138.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 70277.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 35138.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 45680.25,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 49194.11,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 43486.97
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 43923.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 35138.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 63671.23,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 51302.43,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35135.93,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 35138.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 43923.31,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 35138.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 54464.91,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 56221.84,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 33810.04,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 35138.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 35138.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 59274.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 33147.1,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 57719.82
            }
          ]
        }
      ]
    },
    {
      "description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES - SOI : 4",
      "code_information": [
        {
          "code": "0924",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 39182.36,
          "maximum": 52896.19,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39182.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39182.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 41925.13,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 52896.19,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39182.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39182.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 39182.36,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FEVER AND INFLAMMATORY CONDITIONS- SOI : 4",
      "code_information": [
        {
          "code": "7224",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 8918.62,
          "maximum": 12040.14,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8918.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8918.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9542.92,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12040.14,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8918.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8918.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 8918.62,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FOOT & TOE PROCEDURES - SOI : 2",
      "code_information": [
        {
          "code": "3142",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 10597.82,
          "maximum": 14307.06,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10597.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10597.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11339.67,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14307.06,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10597.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10597.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 10597.82,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FOOT PROCEDURES WITH MCC",
      "code_information": [
        {
          "code": "503",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 29915,
          "minimum": 28227.2,
          "maximum": 59831.36,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 44619.96
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28509.47,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 29915.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 59831.36,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29915.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 38890.38,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 41881.95,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 34550.26
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 37394.6,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 29915.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 54207.21,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 43676.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29920.83,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 29915.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 37394.6,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 29915.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 46369.3,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 47865.09,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 28791.74,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29915.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 29915.68,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 38211.1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 28227.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 45999.96
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF FEMUR - SOI : 1",
      "code_information": [
        {
          "code": "3401",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 4081.39,
          "maximum": 5509.88,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4081.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4081.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4367.09,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5509.88,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4081.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4081.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 4081.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF FEMUR - SOI : 2",
      "code_information": [
        {
          "code": "3402",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5213.57,
          "maximum": 7038.32,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5213.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5213.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5578.52,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7038.32,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5213.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5213.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5213.57,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FRACTURE OF PELVIS OR DISLOCATION OF HIP - SOI : 4",
      "code_information": [
        {
          "code": "3414",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 14089.79,
          "maximum": 19021.22,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15076.08,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 19021.22,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 14089.79,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CCMCC",
      "code_information": [
        {
          "code": "928",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 75594,
          "minimum": 44749.8,
          "maximum": 151188.58,
          "payers_information": [
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 75594.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 117171.15,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 120950.86,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 72680.3,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 75594.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75594.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 44749.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 116084.46
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 112601.93
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71967.75,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 75594.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 151188.58,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 75594.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 98272.58,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 105832.01,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 55004.89
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 94492.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 75594.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 136976.85,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 110367.66,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 75530.51,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 75594.29,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 94492.86,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 71255.2,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTRIC FUNDOPLICATION - SOI : 2",
      "code_information": [
        {
          "code": "2322",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 11514.81,
          "maximum": 15544.99,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11514.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11514.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12320.85,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 15544.99,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11514.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11514.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11514.81,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTRIC FUNDOPLICATION - SOI : 4",
      "code_information": [
        {
          "code": "2324",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 27793.7,
          "maximum": 37521.5,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27793.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27793.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 29739.26,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 37521.5,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27793.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27793.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 27793.7,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL HEMORRHAGE WITHOUT CCMCC",
      "code_information": [
        {
          "code": "379",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 7390,
          "minimum": 6901,
          "maximum": 14780.32,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 10734.35
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7078.89,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 7390.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14780.32,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7390.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 9607.21,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 10346.22,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6901
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 7390.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 13390.97,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 10789.63,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7429.33,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 7390.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9237.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 7390.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11454.75,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11824.26,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 7148.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 7390.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7390.16,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 8874.77
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 7008.8,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 11066.34
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL OBSTRUCTION WITH CC",
      "code_information": [
        {
          "code": "389",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 9051,
          "minimum": 6927.69,
          "maximum": 18103.84,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13514.46
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8659.87,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18103.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 11767.5,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 12672.69,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 6927.69
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 11314.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16402.08,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 13215.8,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9088.58,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11314.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14030.48,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 14483.07,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 8745.61,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 9051.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 7511.62
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 8574.13,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 13932.43
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL OBSTRUCTION WITH MCC",
      "code_information": [
        {
          "code": "388",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 16213,
          "minimum": 15314.28,
          "maximum": 32427.94,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 24781.56
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15473.81,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 32427.94,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 21078.16,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22699.56,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 15314.28
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 20267.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 29379.71,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 23672.4,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16239.84,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 20267.46,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 25131.65,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 25942.35,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 15627.01,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 16213.97,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 16275.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 15320.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 25548
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY - SOI : 1",
      "code_information": [
        {
          "code": "2461",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 5157.39,
          "maximum": 6962.48,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5157.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5157.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5518.41,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 6962.48,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5157.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5157.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 5157.39,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY - SOI : 3",
      "code_information": [
        {
          "code": "2463",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 9026.75,
          "maximum": 12186.11,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9026.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9026.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9658.62,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 12186.11,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9026.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9026.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9026.75,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "HAND & WRIST PROCEDURES - SOI : 1",
      "code_information": [
        {
          "code": "3161",
          "type": "APR-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "minimum": 7086.77,
          "maximum": 9567.14,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7086.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7086.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7582.84,
              "additional_payer_notes": "107% of State Medicaid Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 9567.14,
              "additional_payer_notes": "135% of State Medicaid Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7086.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7086.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 7086.77,
              "additional_payer_notes": "100% of State Medicaid Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CCMCC",
      "code_information": [
        {
          "code": "514",
          "type": "MS-DRG"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "discounted_cash": 11475,
          "minimum": 10800,
          "maximum": 47797.1262,
          "payers_information": [
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 22951.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "case rate",
              "standard_charge_dollar": 11475.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "case rate",
              "standard_charge_dollar": 14918.49,
              "additional_payer_notes": "130.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 16066.06,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "case rate",
              "standard_charge_dollar": 12461.49
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 14344.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "case rate",
              "standard_charge_dollar": 11475.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 20794.08,
              "additional_payer_notes": "181.20% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 16754.61,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11508.74,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "case rate",
              "standard_charge_dollar": 11475.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 14344.7,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 11475.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "case rate",
              "standard_charge_dollar": 17787.43,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "NATIONAL HEALTHCARE SOLUTIONS, INC (NHSI)",
              "plan_name": "NATIONAL HEALTHCARE SOLUTIONS, INC Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 18361.22,
              "additional_payer_notes": "160.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "case rate",
              "standard_charge_dollar": 11074.45,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "case rate",
              "standard_charge_dollar": 11475.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 11475.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "case rate",
              "standard_charge_dollar": 12667.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17721.44
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "case rate",
              "standard_charge_dollar": 17189.8
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10965.87,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "case rate",
              "standard_charge_dollar": 11475.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "case rate",
              "standard_charge_dollar": 10857.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc  Vnpnxr 3 Years/> Phys/Qhp Skill",
      "code_information": [
        {
          "code": "36410",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1447.43,
          "minimum": 15.49,
          "maximum": 1447.43,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.26
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.57
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.46
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.49
            }
          ]
        }
      ]
    },
    {
      "description": "Hc (Sup Shell A4223) Infusion Supplies W/O Pump",
      "code_information": [
        {
          "code": "A4223",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 51,
              "standard_charge_algorithm": "Not To Exceed $4132",
              "additional_payer_notes": "Not to exceed limits in contract for this procedure",
              "median_amount": 4.78,
              "10th_percentile": 4.78,
              "90th_percentile": 4.78,
              "count": "1 through 10"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc (Sup Shell C1781) Mesh",
      "code_information": [
        {
          "code": "C1781",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 40.8,
              "median_amount": 1864.81,
              "10th_percentile": 1864.81,
              "90th_percentile": 1864.81,
              "count": "1 through 10"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc 2D Tte W Or W/O Fol W/Con Complete - 93307 - 48300011",
      "code_information": [
        {
          "code": "93307",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2600.03,
          "discounted_cash": 305,
          "minimum": 129.18,
          "maximum": 2600.03,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 390.22,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 226.07
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 129.18
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.07,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 308.43,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 610.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 427.53,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 445.85,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 138.22
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 323.7,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 381.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 187.31
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 129.18
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 473.34,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 311.49,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 290.11,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 129.18
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 129.18
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 402.29,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Admin Influenza Virus Vac - G0008 - 77100008 - 77100008",
      "code_information": [
        {
          "code": "G0008",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 265.73,
          "discounted_cash": 59,
          "minimum": 25,
          "maximum": 265.73,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.57,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 89.88,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.52,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 119.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.89,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 74.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.48,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.52,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 74.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 92.88,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.12,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.94,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Allergen Spec Ige Quant,Each",
      "code_information": [
        {
          "code": "86003",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 74.59,
          "discounted_cash": 5,
          "minimum": 4.959,
          "maximum": 74.59,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.67,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.92
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.32
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.83,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.27,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.62
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.69
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.53,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.53,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.71
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.32
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.09,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.32,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.96,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.32
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.32
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.88,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Alpha-1-Antitrypsin, Pheno",
      "code_information": [
        {
          "code": "82104",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 105.55,
          "discounted_cash": 14,
          "minimum": 13.737,
          "maximum": 105.55,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.48,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.32
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.76
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.69,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.92,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.11
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.79
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.33,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.4
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.76
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.41,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.75,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.74,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.76
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.76
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.05,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Alpha-1-Antitrypsin, Total",
      "code_information": [
        {
          "code": "82103",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 167,
          "discounted_cash": 13,
          "minimum": 12.768,
          "maximum": 167,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.17,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.76
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.7
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.16,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.88,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.82,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.8,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.62
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.66
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.25,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.8,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.87
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.7
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.83,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.71,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.77,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.7
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.7
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.44,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.71,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antibiotic Sens,Enzyme Detection,Each",
      "code_information": [
        {
          "code": "87185",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 23.75,
          "discounted_cash": 4,
          "minimum": 1,
          "maximum": 23.75,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.07,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.27
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.13,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.8,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.65,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.94
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.04
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.04,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1.41
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.36,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.85,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.51,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.75,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.26,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Anus Surgery Procedure Unlisted",
      "code_information": [
        {
          "code": "46999",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4354.05,
          "discounted_cash": 1190,
          "minimum": 1130.709,
          "maximum": 4354.05,
          "payers_information": [
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1487.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1844.84,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1214.02,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1130.71,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1567.94,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1520.9,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1785.33,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1202.12,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2380.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1666.31,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1487.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1737.72,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.22,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1261.63,
              "additional_payer_notes": "106.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Apply Long Leg Splint",
      "code_information": [
        {
          "code": "29505",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1052.19,
          "discounted_cash": 207,
          "minimum": 98.8,
          "maximum": 1052.19,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 265.76,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 103.74
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.8
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 1052.19,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 210.06,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 415.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 291.17,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 259.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 303.65,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 105.72
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.46,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 259.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.26
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.8
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 322.37,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 212.14,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 197.58,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.8
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.8
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 273.98,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Arc Rbc Antibody Identification",
      "code_information": [
        {
          "code": "86870",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2169.08,
          "discounted_cash": 458,
          "minimum": 18.96,
          "maximum": 2169.08,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 586.22,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.61
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.96
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 688.14,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.35,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 917.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 642.26,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 573.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 669.79,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.29
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 486.29,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 573.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.49
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.96
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 711.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 467.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 435.82,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.96
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.96
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 604.35,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Aspergillus Antibody",
      "code_information": [
        {
          "code": "86606",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 127,
          "discounted_cash": 15,
          "minimum": 14.2975,
          "maximum": 127,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.23,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.18
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.35
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.58,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.2,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.07,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.97
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.42
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.95,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.26
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.35
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.33,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.35,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.3,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.35
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.35
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.83,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Biotinidase",
      "code_information": [
        {
          "code": "82261",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 165.87,
          "discounted_cash": 16,
          "minimum": 15.9,
          "maximum": 165.87,
          "payers_information": [
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.74,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.62,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.63
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.01
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.88,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.06
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.9
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.15,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.21,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.03,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.9
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.9
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.22,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.56,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.81
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.9
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.31,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.04,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Carbamazepine Free",
      "code_information": [
        {
          "code": "80157",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 66.25,
          "discounted_cash": 13,
          "minimum": 8.79,
          "maximum": 66.25,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.93,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.54
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.79
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.88,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.38,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.5,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.55,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.35
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.41
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.05,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.75
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.79
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.54,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.52,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.59,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.79
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.79
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.25,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.45,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay For Calprotectin Fecal",
      "code_information": [
        {
          "code": "83993",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 366.28,
          "discounted_cash": 19,
          "minimum": 13.96,
          "maximum": 366.28,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.08,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.32
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.96
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.45,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.83,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 39.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.48,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.66
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.94
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.81,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.54,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.24
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.96
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.43,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.02,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.65,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.96
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.96
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.86,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Glucose, Body Fluid",
      "code_information": [
        {
          "code": "82945",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 285,
          "discounted_cash": 3,
          "minimum": 2.63,
          "maximum": 285,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.02,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.45
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.63
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.9,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.5,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.74
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.81
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.17,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.91,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.81
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.63
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.09,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.01,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.73,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.63
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2.63
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.93,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Acetaminophen - G0480 - 30100036",
      "code_information": [
        {
          "code": "G0480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 629.37,
          "discounted_cash": 114,
          "minimum": 63.95,
          "maximum": 629.37,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.22,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.15
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.65,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 228.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.2,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 167.07
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.43
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 121.3,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 92.73
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 177.37,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 116.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 108.71,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 150.74,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Acth",
      "code_information": [
        {
          "code": "82024",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 372,
          "discounted_cash": 38,
          "minimum": 36.689,
          "maximum": 372,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.35,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 55.39
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 39.39
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.93,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 39.01,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.24,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.07,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.39
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.15
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.94,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.28,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.12
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 39.39
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.86,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 39.39,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.69,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 39.39
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 39.39
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.62,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 50.88,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Ammonia",
      "code_information": [
        {
          "code": "82140",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 399.09,
          "discounted_cash": 14,
          "minimum": 13.8415,
          "maximum": 399.09,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.62,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.96
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.86
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.86,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.72,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.14,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.4,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.27
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.9
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.44,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.21,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.55
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.86
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.58,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.86,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.84,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.86
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.86
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.57,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.19,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Amphetamines - G0480 - 30100323",
      "code_information": [
        {
          "code": "G0480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 572.15,
          "discounted_cash": 114,
          "minimum": 63.95,
          "maximum": 629.37,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 92.73
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 177.37,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 116.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 108.71,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 150.74,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 146.22,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 67.15
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.95
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 171.65,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 228.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 160.2,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 143.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 167.07
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.43
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 121.3,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 114.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Apolipoprotein",
      "code_information": [
        {
          "code": "82172",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 119.4,
          "discounted_cash": 21,
          "minimum": 15.09,
          "maximum": 119.4,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.95,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.11
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.09
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.64,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.3,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 42.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.53,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.79
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.15
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.36,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.36,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.88
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.09
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.69,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.51,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.04,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.09
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.09
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.78,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Blood Lipoprotein,Ldl Cholest",
      "code_information": [
        {
          "code": "83721",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 190.63,
          "discounted_cash": 10,
          "minimum": 9.43,
          "maximum": 190.63,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.42,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.03
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.43
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.75,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.61,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.7,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.33
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.09
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.13,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.67
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.43
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.28,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.71,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.98,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.43
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.43
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.83,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Chromium",
      "code_information": [
        {
          "code": "82495",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 148.05,
          "discounted_cash": 20,
          "minimum": 19.266,
          "maximum": 148.05,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.91,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.77
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.69
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.42,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.48,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 40.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.39,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.61
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.14
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.5,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.35,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.69
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.43,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.69,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.27,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.69
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.69
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.28,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.72,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc 2D Tte W Or W/O Fol W/Con Complete - C8923 - 48300011",
      "code_information": [
        {
          "code": "C8923",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2600.03,
          "discounted_cash": 1003,
          "minimum": 780.009,
          "maximum": 2600.03,
          "payers_information": [
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2006.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1404.63,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1254.14,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1464.83,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1063.51,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1254.14,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1555.13,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1023.38,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 953.14,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1321.71,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1282.06,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1504.97,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1013.34,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Creatine",
      "code_information": [
        {
          "code": "82540",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 149,
          "discounted_cash": 4,
          "minimum": 4.408,
          "maximum": 149,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.93,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.57
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.96,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.69,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.28,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.5,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.8,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.77
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.06
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.92,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.8,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.86
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.19,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.41,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.73
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.64,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.11,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Abdom Paracentesis Dx/Ther W/O Imaging Guidance",
      "code_information": [
        {
          "code": "49082",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 5070.9,
          "discounted_cash": 1160,
          "minimum": 58.45,
          "maximum": 5070.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1483.32,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.5
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.45
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1741.22,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1172.42,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2321.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1625.13,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1451.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1694.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 62.54
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1230.46,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1451.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 84.75
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.45
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1799.26,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1184.03,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1102.77,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.45
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.45
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1529.19,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Agent Nos Assay W/Optic",
      "code_information": [
        {
          "code": "87899",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 80.35,
          "discounted_cash": 16,
          "minimum": 5.59,
          "maximum": 80.35,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.53,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.11
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.59
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.11,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.23,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.14,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.5,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.09,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.46
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.98
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.03,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.09,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.11
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.59
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.91,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.39,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.27,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.59
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.59
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.07,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.17,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Estrone",
      "code_information": [
        {
          "code": "82679",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 182.25,
          "discounted_cash": 24,
          "minimum": 23.7025,
          "maximum": 182.25,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.88,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 35.56
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 37.43,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.2,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 49.9,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 34.93,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.43
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.23
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.45,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 31.19,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.9
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.67,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.7,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.45
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.95,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.87,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Actin Smooth Muscle Antibody Each",
      "code_information": [
        {
          "code": "86015",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 60.25,
          "discounted_cash": 12,
          "minimum": 11.4475,
          "maximum": 60.25,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.4,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.11
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.08,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.17,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.59
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.34
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.77,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.72
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.29,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.45,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.53
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.87,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Allergen Specific Igg",
      "code_information": [
        {
          "code": "86001",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 39.1,
          "discounted_cash": 7,
          "minimum": 4.54,
          "maximum": 39.1,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.99,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.96
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.54
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.9,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.95,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.42
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.86
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.29,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.78,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.58
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.54
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.12,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.98,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.43,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.54
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.54
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.82,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.3,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Ferritin",
      "code_information": [
        {
          "code": "82728",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 365.75,
          "discounted_cash": 13,
          "minimum": 12.9485,
          "maximum": 365.75,
          "payers_information": [
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.85
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.13,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.9,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.95,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.85
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.85
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.96,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.42,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.54
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.85
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.45,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.77,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.26,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.08,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.9
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.82
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.45,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.63,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.04,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.08
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Admin Pneumococcal Vac - G0009 - 77100009 - 77100009",
      "code_information": [
        {
          "code": "G0009",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 265.73,
          "discounted_cash": 59,
          "minimum": 56.924,
          "maximum": 265.73,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.57,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 89.88,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 60.52,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 119.84,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 83.89,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 74.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 87.48,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 63.52,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 74.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 92.88,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.12,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 56.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59.92,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.94,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Amino Acid Single Qual",
      "code_information": [
        {
          "code": "82127",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 126.5,
          "discounted_cash": 14,
          "minimum": 13.471,
          "maximum": 126.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.12,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.31
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.15
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.27,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.32,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.36,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.85,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.7
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.14
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.03,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.73,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.52
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.15
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.98,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.47,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.15
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.15
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Fetal Fibronectin",
      "code_information": [
        {
          "code": "82731",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 946.09,
          "discounted_cash": 64,
          "minimum": 44.95,
          "maximum": 946.09,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 82.3,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 59
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.95
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 96.62,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.05,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 128.82,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 90.17,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 80.51,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 94.04
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.1
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 68.27,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 80.51,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.18
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.95
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.84,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.7,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 61.19,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.95
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 44.95
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 64.41,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 84.85,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Ag Detect Nos, Eia, Mult Step",
      "code_information": [
        {
          "code": "87449",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 194.86,
          "discounted_cash": 11,
          "minimum": 9.64,
          "maximum": 194.86,
          "payers_information": [
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.49
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.31
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.7,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.98,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.98
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.57,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.38,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.78,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.31,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.11
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.97,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.1,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.96,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.98,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antihuman Globulin Dir Ea Antiserum",
      "code_information": [
        {
          "code": "86880",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 331.67,
          "discounted_cash": 75,
          "minimum": 5.5,
          "maximum": 331.67,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 96.48,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.13
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.5
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 113.25,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.26,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 151,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 105.7,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 94.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 110.23,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.89
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 80.03,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 94.38,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.98
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.5
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 117.03,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 77.01,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 71.73,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.5
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.5
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 99.46,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Gammaglobulin Ige",
      "code_information": [
        {
          "code": "82785",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 183,
          "discounted_cash": 16,
          "minimum": 15.637,
          "maximum": 183,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.03,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.24
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.75
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.69,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.62,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.92,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.04,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.03
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.92
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.45,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.58,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.29
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.75
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.51,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.79,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.64,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.75
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.75
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.46,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Airway Inhalation Treatment",
      "code_information": [
        {
          "code": "94640",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1539.93,
          "discounted_cash": 280,
          "minimum": 16.78,
          "maximum": 1539.93,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 358.12,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.62
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.78
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 420.39,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 283.06,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 560.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.36,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 350.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 409.18,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.95
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 297.08,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 350.33,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.33
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.78
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 434.4,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 285.87,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 266.25,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.78
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.78
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 280.26,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 369.2,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antineutrophil Cytoplasmic Antb Titer Ea Antb",
      "code_information": [
        {
          "code": "86037",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 60.25,
          "discounted_cash": 12,
          "minimum": 11.4475,
          "maximum": 60.25,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.4,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.65
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.08,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.17,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.87,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.59
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.89
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.77,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.06,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.47
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.68,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.29,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.45,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.87,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Gentamicin",
      "code_information": [
        {
          "code": "80170",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 431.25,
          "discounted_cash": 16,
          "minimum": 15.561,
          "maximum": 431.25,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.93,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.12
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.71
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.54,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 32.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.93,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.91
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.88
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.36,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.23
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.71
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.39,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.71,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.56,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.71
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.71
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.58,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Angio Aortobifemoral W Cath",
      "code_information": [
        {
          "code": "75630",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 15737.5,
          "discounted_cash": 4041,
          "minimum": 104.04,
          "maximum": 15737.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5163.89,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 426.22
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.04
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6061.71,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4081.55,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8082.28,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5657.6,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5051.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5900.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 111.32
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4283.61,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5051.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 150.86
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.04
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6263.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4121.96,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3839.08,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.04
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.04
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5323.6,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antithrombin Iii Test,Activ",
      "code_information": [
        {
          "code": "85300",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 190.35,
          "discounted_cash": 11,
          "minimum": 11.2575,
          "maximum": 190.35,
          "payers_information": [
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.37,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.26,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.01
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.01
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.61,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.14,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.1
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.01
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.78,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.7,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.59,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.3
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.85
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.56,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.41
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.85,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.01
            }
          ]
        }
      ]
    },
    {
      "description": "Hc 2D Tee W Or W/O Fol W/Con,In",
      "code_information": [
        {
          "code": "C8925",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 4479.02,
          "discounted_cash": 1003,
          "minimum": 953.1445,
          "maximum": 4479.02,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1282.06,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1504.97,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1013.34,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2006.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1404.63,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1254.14,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1464.83,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1063.51,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1254.14,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1555.13,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1023.38,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 953.14,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1003.31,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1321.71,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Inorganic Phosphorus",
      "code_information": [
        {
          "code": "84100",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 192.79,
          "discounted_cash": 4,
          "minimum": 4.503,
          "maximum": 192.79,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.06,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.59
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.83
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.11,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.79,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.48,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.64,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 51,
              "standard_charge_algorithm": "Not To Exceed $4132",
              "additional_payer_notes": "Not to exceed limits in contract for this procedure",
              "median_amount": 15.94,
              "10th_percentile": 15.94,
              "90th_percentile": 15.94,
              "count": "1 through 10"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.92
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.17
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.02,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.93,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.83
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.35,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.83,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.5,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.83
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.83
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.24,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Angio Aortogram Thor Serial",
      "code_information": [
        {
          "code": "75605",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18444.7,
          "discounted_cash": 7121,
          "minimum": 98.32,
          "maximum": 18444.7,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9100.42,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 390.09
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.32
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10682.67,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7193,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14243.56,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9970.49,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10397.8,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 105.2
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7549.09,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8902.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 142.56
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.32
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11038.76,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7264.22,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6765.69,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.32
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 98.32
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7121.78,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9381.88,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Arc Blood Typing, Rbc Antigens",
      "code_information": [
        {
          "code": "86905",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1735.26,
          "discounted_cash": 458,
          "minimum": 3.84,
          "maximum": 1735.26,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 669.79,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.11
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 486.29,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 573.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.57
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.84
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 711.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 467.94,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 435.82,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.84
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.84
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 604.35,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 586.22,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.88
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3.84
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 688.14,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 463.35,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 917.52,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 642.26,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 458.76,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 573.45,
              "additional_payer_notes": "125.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Lipase",
      "code_information": [
        {
          "code": "83690",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 338.73,
          "discounted_cash": 6,
          "minimum": 6.5455,
          "maximum": 338.73,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.8,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.33
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.98
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.34,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.96,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.65,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.61,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial",
              "methodology": "percent of total billed charges",
              "standard_charge_percentage": 51,
              "standard_charge_algorithm": "Not To Exceed $4132",
              "additional_payer_notes": "Not to exceed limits in contract for this procedure",
              "median_amount": 59.8,
              "10th_percentile": 28,
              "90th_percentile": 172.56,
              "count": "1 through 10"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.06
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.47
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.3,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.61,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.12
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.98
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.68,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.03,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.55,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.98
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.98
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.89,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.08,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Angio Extremity Unilat",
      "code_information": [
        {
          "code": "75710",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 17830.9,
          "discounted_cash": 4041,
          "minimum": 130.84,
          "maximum": 17830.9,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5163.89,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 397.1
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 130.84
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6061.71,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4081.55,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8082.28,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5657.6,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5051.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5900.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 140
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4283.61,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5051.43,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 189.72
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 130.84
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6263.77,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4121.96,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3839.08,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 130.84
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 130.84
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4041.14,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5323.6,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Arthrocentesis Aspir&/Inj Interm Jt/Burs W/Us",
      "code_information": [
        {
          "code": "20606",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 3172.95,
          "discounted_cash": 903,
          "minimum": 45.05,
          "maximum": 3172.95,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1154.43,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 47.3
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.05
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1355.15,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 912.46,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1806.86,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1264.8,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1129.29,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1319.01,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.2
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 957.64,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1129.29,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 65.32
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.05
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1400.32,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 921.5,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 858.26,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.05
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 45.05
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 903.43,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1190.13,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Abdom Paracentesis Dx/Ther W Imaging Guidance",
      "code_information": [
        {
          "code": "49083",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6232.5,
          "discounted_cash": 1160,
          "minimum": 89.72,
          "maximum": 6232.5,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1483.32,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 94.34
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 89.72
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1741.22,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1172.42,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2321.62,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1625.13,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1451.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1694.78,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 96
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1230.46,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1451.01,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 130.09
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 89.72
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1799.26,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1184.03,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1102.77,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 89.72
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 89.72
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1160.81,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1529.19,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Lithium",
      "code_information": [
        {
          "code": "80178",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 253.15,
          "discounted_cash": 6,
          "minimum": 6.2795,
          "maximum": 253.15,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.45,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.93
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.75
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.92,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.68,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.22,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.25,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.65
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.22
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.01,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.26,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.79
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.75
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.25,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.74,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.28,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.75
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.75
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.61,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.71,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Angiotensin I Enzyme Test",
      "code_information": [
        {
          "code": "82164",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 173,
          "discounted_cash": 14,
          "minimum": 13.87,
          "maximum": 173,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.66,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.52
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.89
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.9,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.75,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.2,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.44,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.32
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.93
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.48,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.25,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.59
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.89
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.63,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.89,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.87,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.89
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.89
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.6,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.23,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Arthrogram Of Ankle",
      "code_information": [
        {
          "code": "73615",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1369.02,
          "discounted_cash": 446,
          "minimum": 79.92,
          "maximum": 1369.02,
          "payers_information": [
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 692.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 455.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 424.18,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 79.92
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 79.92
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 588.2,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 570.55,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 113.4
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 79.92
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 669.75,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 450.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 893,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 651.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 85.51
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 473.29,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 115.88
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 79.92
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Ablate L/R Atrial Fibril W Isolated Pulm Vein",
      "code_information": [
        {
          "code": "93657",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 20401.3,
          "minimum": 329.97,
          "maximum": 20401.3,
          "payers_information": [
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 1408.46
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 329.97
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 353.07
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 478.46
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 329.97
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 329.97
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 329.97
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Metanephrines",
      "code_information": [
        {
          "code": "83835",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 261.71,
          "discounted_cash": 16,
          "minimum": 16.093,
          "maximum": 261.71,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.65,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.92
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.28
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.41,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.11,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.88,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.72,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.73
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.49
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.96,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.18,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.06
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.28
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.26,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.28,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.09,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.28
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.28
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.32,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antegrade Urography Radiological Supvj & Interpj",
      "code_information": [
        {
          "code": "74425",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1785.65,
          "discounted_cash": 446,
          "minimum": 48.23,
          "maximum": 1785.65,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 570.55,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 75.59
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.23
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 669.75,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 450.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 893,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 651.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 51.61
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 473.29,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 69.93
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.23
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 692.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 455.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 424.18,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.23
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 48.23
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 588.2,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Arthrogram Of Knee Joint",
      "code_information": [
        {
          "code": "73580",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 2148.09,
          "discounted_cash": 446,
          "minimum": 76.45,
          "maximum": 2148.09,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 570.55,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.25
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.45
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 669.75,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 450.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 893,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 651.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 81.8
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 473.29,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 110.85
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.45
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 692.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 455.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 424.18,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.45
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.45
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 588.2,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Adjacent Tissue Trns/Reargmt F/C/C/M/N/A/G/H/F 10Sqcm/&Lt",
      "code_information": [
        {
          "code": "14040",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 6120.83,
          "discounted_cash": 2640,
          "minimum": 483.82,
          "maximum": 6120.83,
          "payers_information": [
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5281.44,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3697.01,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3300.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3855.45,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 517.69
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2799.16,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3300.9,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 701.54
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 483.82
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4093.12,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2693.53,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2508.68,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 483.82
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 483.82
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3478.75,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3374.39,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 508.01
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 483.82
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "case rate",
              "standard_charge_dollar": 3600,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3600,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 2640.72,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Nucleotidase 5'",
      "code_information": [
        {
          "code": "83915",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 33.45,
          "discounted_cash": 11,
          "minimum": 10.035,
          "maximum": 33.45,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.25,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.52
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.37
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.73,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.26,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.61,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.28
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.17
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.82,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.94,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.49
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.37
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.28,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.37,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.59,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.37
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.37
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.15,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.69,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antibiotic Sens,Mic,Each",
      "code_information": [
        {
          "code": "87186",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 297,
          "discounted_cash": 8,
          "minimum": 8.2175,
          "maximum": 297,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.05,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.88
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.98,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.74,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.3,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.11,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.63
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.22
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.17,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.81,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.5
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.41,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.82,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.22,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.62
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.65,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.4,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Arthrogram Of Shoulder",
      "code_information": [
        {
          "code": "73040",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1602.23,
          "discounted_cash": 446,
          "minimum": 53.81,
          "maximum": 1602.23,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 570.55,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 76.35
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.81
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 669.75,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 450.97,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 893,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 625.1,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 651.89,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.58
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 473.29,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 558.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.02
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.81
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 692.08,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 455.43,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 424.18,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.81
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 53.81
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 446.5,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 588.2,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Alpha-Fetoprotein, Serum",
      "code_information": [
        {
          "code": "82105",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 371.25,
          "discounted_cash": 16,
          "minimum": 15.9315,
          "maximum": 371.25,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.43,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 89.25
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 97.54
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.16,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.94,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 33.54,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.48,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.48
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 104.37
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.78,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.96,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 141.43
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 97.54
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.99,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.11,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.93,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 97.54
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 97.54
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.77,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.09,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Phenobarbital",
      "code_information": [
        {
          "code": "80184",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 405.26,
          "discounted_cash": 15,
          "minimum": 9.64,
          "maximum": 405.26,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.55,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.93
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.95,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.6,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21.42,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 22.34
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.31
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.22,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.13,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.98
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.72,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.61,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.54,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 9.64
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.3,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.16,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antihuman Globulin Indirect Ea Antibody Titer",
      "code_information": [
        {
          "code": "86886",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1110.75,
          "discounted_cash": 218,
          "minimum": 4.84,
          "maximum": 1110.75,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 278.63,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.85
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.84
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 327.08,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 220.23,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 436.1,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 305.27,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 272.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 318.35,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 231.13,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 272.56,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.02
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.84
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 337.98,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 222.41,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 207.15,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.84
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.84
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 218.05,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 287.25,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Aspirat/Injection Ganglion Cyst(S)",
      "code_information": [
        {
          "code": "20612",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 1475.95,
          "discounted_cash": 392,
          "minimum": 54.36,
          "maximum": 1475.95,
          "payers_information": [
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 573.58,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 58.17
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 416.43,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 491.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 78.82
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.36
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 608.93,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 400.72,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 373.22,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.36
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.36
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 517.53,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 502.01,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 57.08
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 54.36
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 589.29,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 396.79,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 785.72,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 550,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 491.08,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 392.86,
              "additional_payer_notes": "100.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Amp Mtcrpl W/Finger/Thumb W/Wo Inteross Transfer",
      "code_information": [
        {
          "code": "26910",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 10864.2,
          "discounted_cash": 4187,
          "minimum": 487.57,
          "maximum": 10864.2,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 511.95
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 487.57
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6281.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8375.42,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 521.7
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 706.98
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 487.57
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6490.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 487.57
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 487.57
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Prolactin",
      "code_information": [
        {
          "code": "84146",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 398.76,
          "discounted_cash": 19,
          "minimum": 18.411,
          "maximum": 398.76,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.76,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.45
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 29.07,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 38.76,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.13,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.29
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 21
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 20.54,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.23,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 28.46
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 30.04,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.77,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.41,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.63
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 19.38,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 25.53,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Antinuclear Antibodies",
      "code_information": [
        {
          "code": "86038",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 178,
          "discounted_cash": 12,
          "minimum": 11.4855,
          "maximum": 178,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.45,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 14.96
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.2
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.14,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.21,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 24.18,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 16.93,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.65
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 13.05
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.82,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.11,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 17.69
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.2
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.74,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.33,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 11.49,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.2
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.2
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 12.09,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 15.93,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Alkaline Phosphatase",
      "code_information": [
        {
          "code": "84075",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 142.5,
          "discounted_cash": 5,
          "minimum": 4.74,
          "maximum": 142.5,
          "payers_information": [
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.23,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 10.36,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.25,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.56
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.07
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.49,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.48,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.87
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8.03,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.28,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.92,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.82,
              "additional_payer_notes": "131.74% of Medicare Rates"
            },
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.62,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6.85
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5.18,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4.74
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 7.77,
              "additional_payer_notes": "150.00% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Amputation Of Finger/Thumb",
      "code_information": [
        {
          "code": "26951",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 18107,
          "discounted_cash": 4187,
          "minimum": 374.88,
          "maximum": 18107,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5351.18,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 393.62
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 374.88
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6281.57,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4229.59,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 8375.42,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Employer Direct Healthcare",
              "plan_name": "Employer Direct Healthcare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5862.79,
              "additional_payer_notes": "140.00% of Medicare Rates"
            },
            {
              "payer_name": "EPIC Health Plan",
              "plan_name": "Epic Health Plan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services (Tricare)",
              "plan_name": "HEALTH NET FEDERAL SERVICES - TRICARE",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Federal Services CDCR",
              "plan_name": "Health Net Federal Services CDCR - Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Cal-Mediconnect",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Commercial Ins Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6114.06,
              "additional_payer_notes": "146.00% of Medicare Rates"
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 401.12
            },
            {
              "payer_name": "Health Net Of CA",
              "plan_name": "Health Net Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Imperial Health Plan Of CA",
              "plan_name": "Imperial Health Plan Of CA Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4438.97,
              "additional_payer_notes": "106.00% of Medicare Rates"
            },
            {
              "payer_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE",
              "plan_name": "INLAND EMPIRE  FOUNDATION FOR MEDICAL CARE Workers Comp",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5234.64,
              "additional_payer_notes": "125.00% of Medicare Rates"
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 543.58
            },
            {
              "payer_name": "Inland Empire Health Plan",
              "plan_name": "Inland Empire Healthplan Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 374.88
            },
            {
              "payer_name": "Molina",
              "plan_name": "Molina Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Naphcare",
              "plan_name": "Naphcare Prison",
              "methodology": "fee schedule",
              "standard_charge_dollar": 6490.95,
              "additional_payer_notes": "155.00% of Medicare Rates"
            },
            {
              "payer_name": "Neighborhood",
              "plan_name": "Neighborhood Medicare Pace",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4271.46,
              "additional_payer_notes": "102.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Prime Healthcare Services",
              "plan_name": "Prime Healthcare Services Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Renal Payer Solutions",
              "plan_name": "Renal Payer Solutions Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Rios",
              "plan_name": "Rios Southwest Medical Group Prof Corp OP Only",
              "methodology": "fee schedule",
              "standard_charge_dollar": 3978.32,
              "additional_payer_notes": "95.00% of Medicare Rates"
            },
            {
              "payer_name": "Traditional Medi-Cal",
              "plan_name": "Traditional Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 374.88
            },
            {
              "payer_name": "Traditional Medicare",
              "plan_name": "Traditional Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Tricare",
              "plan_name": "Tricare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 374.88
            },
            {
              "payer_name": "Vantage Care",
              "plan_name": "Vantage Care Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 4187.71,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Worker Compensation",
              "plan_name": "Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 5516.68,
              "additional_payer_notes": "131.74% of Medicare Rates"
            }
          ]
        }
      ]
    },
    {
      "description": "Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312",
      "code_information": [
        {
          "code": "84153",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 251.59,
          "discounted_cash": 18,
          "minimum": 17.4705,
          "maximum": 251.59,
          "payers_information": [
            {
              "payer_name": "Aetna",
              "plan_name": "Coventry - fka AETNA Workers Compensation",
              "methodology": "fee schedule",
              "standard_charge_dollar": 23.5,
              "additional_payer_notes": "127.78% of Medicare Rates"
            },
            {
              "payer_name": "Alignment",
              "plan_name": "Alignment Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Anthem Blue Cross",
              "plan_name": "Anthem Blue Cross Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 26.03
            },
            {
              "payer_name": "Blue Shield Of CA Triwest Healthcare CCN",
              "plan_name": "Blue Shield CA Of TriWest Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Blue Shield Of Promise",
              "plan_name": "Blue Shield Of Promise Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.76
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Exchange",
              "methodology": "fee schedule",
              "standard_charge_dollar": 27.59,
              "additional_payer_notes": "150.00% of Medicare Rates"
            },
            {
              "payer_name": "Brand New Day",
              "plan_name": "Brand New Day Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.57,
              "additional_payer_notes": "101.00% of Medicare Rates"
            },
            {
              "payer_name": "Central Health Plan",
              "plan_name": "Central Health Plan",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Choice Physicians Network",
              "plan_name": "Choice Physicians Network Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Citrus Valley Physicians Group",
              "plan_name": "Citrus Valley Physicians Group Medicare",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Commercial",
              "methodology": "fee schedule",
              "standard_charge_dollar": 36.78,
              "additional_payer_notes": "200.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medi-Cal",
              "methodology": "fee schedule",
              "standard_charge_dollar": 18.39,
              "additional_payer_notes": "100.00% of Medicare Rates"
            },
            {
              "payer_name": "Emanate Health",
              "plan_name": "Emanate Medicare",
              "methodology": "fee schedule",
              "standard_charge_dol